How COVID-19 Pandemics Changed the Treatment Protocols for Patients with Gynecological Tumors

Author:

Georgescu Dragoș-Eugen12,Vacaroiu Ileana Adela13,Mincă Alexandru1,Maria-Daniela Tanasescu14,Droc Gabriela15,Isac Sebastian16,Tulin Florentina-Raluca17,Michire Alexandru1,Georgescu Mihai-Teodor18,Ionescu Dorin14,Bogdan Caraban5,Georgescu Teodor-Florin19

Affiliation:

1. „Carol Davila” University of Medicine and Pharmacy , Faculty of Medicine

2. Department of General Surgery , Hospital „Dr. I. Cantacuzino” , Bucharest , Romania

3. Department of Nephrology and Dialysis , „St. Ioan” Emergency Clinical Hospital , Bucharest , Romania

4. Nephrology Department , University Emergency Hospital , Bucharest , Romania

5. Ovidius Clinical Hospital , Constanta , Romania

6. Department of Anesthesiology and Intensive Care I , Fundeni Clinial Institute , Bucharest , Romania

7. Emergency Clinical Hospital „Prof. Dr. Agrippa Ionescu” , Bucharest , Romania

8. Oncological Institute Prof. Dr. Al.Trestioreanu , Bucharest , Romania

9. Department of General Surgery - Bucharest Emergency Clinical Hospital , Romania

Abstract

Abstract It was found that oncological patients are4 to 8 times more likely of developing severe forms of COVID-19 infection than other patients, so mortality is higher in patients with gyneco-logical cancer. Due to this pandemic, reported delays in diagnosis and treatment of genital cancer and changes in disease management, may influence the natural history of neoplasm. This fact adds more stress and fear for patients with neoplasms. Adequate protective measures are essen-tial for SARS CoV2 infection avoidance and lead to changes in healthcare professionals clinical practice. Prioritization is important, but direct personal interactions should be limited. However, gynecological tumors surgery, chemotherapy, and radiotherapy should continue as high priority practices, without essential modification. The conclusion is that COVID-19 pandemic has affect-ed many guides for management of diseases, especially oncological. Adaptations in clinical prac-tice may avoid viral infection and reduce mortality and severe complications.

Publisher

Walter de Gruyter GmbH

Subject

General Biochemistry, Genetics and Molecular Biology

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