Care of immunocompromised patients with head and neck cancer during the COVID-19 pandemic: Two challenging and informative clinical cases

被引:7
作者
Civantos, Alyssa M. [1 ]
Carey, Ryan M. [2 ]
Lichtenstein, Gary R. [3 ]
Lukens, John N. [4 ]
Cohen, Roger B. [5 ]
Rassekh, Christopher H. [2 ]
机构
[1] Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
[2] Univ Penn, Dept Otorhinolaryngol Head & Neck Surg, 3400 Spruce St,5th Floor,Ravdin Bldg, Philadelphia, PA 19104 USA
[3] Univ Penn, Dept Med, Div Gastroenterol, Philadelphia, PA 19104 USA
[4] Univ Penn, Dept Radiat Oncol, Philadelphia, PA 19104 USA
[5] Univ Penn, Dept Med Oncol, Philadelphia, PA 19104 USA
来源
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2020年 / 42卷 / 06期
关键词
airway; COVID-19; head and neck cancer; immunosuppression; risk management; DOCETAXEL; CISPLATIN; FLUOROURACIL; CHEMOTHERAPY;
D O I
10.1002/hed.26165
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Background and Methods There is an added level of complexity in the management of head and neck cancer patients with underlying immunosuppressive disorders during the COVID-19 pandemic. Head and neck oncologists are tasked with balancing the dual risks of cancer progression in the setting of impaired tumor immunity and increased susceptibility to life-threatening complications from exposure to viral infection for patients and providers. Through two cases of immunocompromised patients with newly diagnosed head and neck malignancies, we aim to provide guidance to clinicians struggling with how to best counsel and manage this unique subset of patients under these difficult circumstances. Results After careful consideration of the options, we took different approaches in the care of these two patients. Conclusions Ultimately, there is no uniform set of rules to apply to this heterogeneous group of immunocompromised patients. We provide some general principles to help guide patient management during the current pandemic.
引用
收藏
页码:1131 / 1136
页数:6
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