Serveur d'exploration sur la COVID chez les séniors

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The aggressive surgical treatment and outcome of a colon cancer patient with COVID-19 in Wuhan, China.

Identifieur interne : 000160 ( Main/Exploration ); précédent : 000159; suivant : 000161

The aggressive surgical treatment and outcome of a colon cancer patient with COVID-19 in Wuhan, China.

Auteurs : Jinbo Gao [République populaire de Chine] ; Ming Yang [République populaire de Chine] ; Lian Liu [République populaire de Chine] ; Shuang Guo [République populaire de Chine] ; Yongfeng Li [République populaire de Chine] ; Chao Cheng [République populaire de Chine]

Source :

RBID : pubmed:32799796

Descripteurs français

English descriptors

Abstract

BACKGROUND

Cancer patients are at increased risk of novel coronavirus disease 2019 (COVID-19). Currently, surgeries for cancer patients with COVID-19 are generally suggested to be properly delayed.

CASE PRESENTATION

We presented a 69-year-old Chinese female colon cancer patient with COVID-19, the first case accepted the surgical treatment during the pandemic in China. The patient developed a fever on January 28, 2020. After treatments with Ceftriaxone and Abidol, her fever was not moderated yet. A repeat chest computed tomography (CT) scan showed significantly exacerbated infectious lesions with a positive result for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) nucleic acid. An abdomen CT scan indicated the tumor of ascending colon with local wrapped changes. She was diagnosed with 'Severe novel coronavirus pneumonia' and 'Incomplete bowel obstruction: Colon cancer?'. After actively anti-inflammatory and anti-viral therapies, a right colectomy with lymph node dissection was performed on March 11, followed by a pathological examination. The patient successfully recovered from COVID-19 pneumonia and incomplete bowel obstruction after surgery without any postoperative related complications and was discharged on the 9th day after operation. Significant degeneration, necrosis and slough of focal intestinal and colonic mucosal epithelial cells were observed under microscope. No surgeons, nurses or anesthetists in our team were infected with SARS-CoV-2.

CONCLUSIONS

It is meaningful and imperative to share our experience of protecting health care personnels from SARS-CoV-2 infection and providing references for optimizing treatment of cancer patients, at least for the operative intervention with absolute necessity or surgical emergency, during the outbreak of COVID-19.


DOI: 10.1186/s12876-020-01411-y
PubMed: 32799796
PubMed Central: PMC7427760


Affiliations:


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Le document en format XML

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<term>Aged (MeSH)</term>
<term>Betacoronavirus (isolation & purification)</term>
<term>Colectomy (methods)</term>
<term>Colon, Ascending (diagnostic imaging)</term>
<term>Colon, Ascending (pathology)</term>
<term>Colonic Neoplasms (diagnosis)</term>
<term>Colonic Neoplasms (pathology)</term>
<term>Colonic Neoplasms (physiopathology)</term>
<term>Colonic Neoplasms (surgery)</term>
<term>Coronavirus Infections (diagnosis)</term>
<term>Coronavirus Infections (drug therapy)</term>
<term>Coronavirus Infections (physiopathology)</term>
<term>Coronavirus Infections (prevention & control)</term>
<term>Coronavirus Infections (therapy)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Infection Control (methods)</term>
<term>Intestinal Obstruction (diagnosis)</term>
<term>Intestinal Obstruction (etiology)</term>
<term>Intestinal Obstruction (surgery)</term>
<term>Pandemics (prevention & control)</term>
<term>Pneumonia, Viral (diagnosis)</term>
<term>Pneumonia, Viral (diagnostic imaging)</term>
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<term>Pneumonia, Viral (prevention & control)</term>
<term>Pneumonia, Viral (therapy)</term>
<term>Pneumonia, Viral (virology)</term>
<term>Tomography, X-Ray Computed (methods)</term>
<term>Treatment Outcome (MeSH)</term>
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<term>Betacoronavirus (isolement et purification)</term>
<term>Colectomie (méthodes)</term>
<term>Côlon ascendant (anatomopathologie)</term>
<term>Côlon ascendant (imagerie diagnostique)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Infections à coronavirus (diagnostic)</term>
<term>Infections à coronavirus (physiopathologie)</term>
<term>Infections à coronavirus (prévention et contrôle)</term>
<term>Infections à coronavirus (thérapie)</term>
<term>Infections à coronavirus (traitement médicamenteux)</term>
<term>Occlusion intestinale (chirurgie)</term>
<term>Occlusion intestinale (diagnostic)</term>
<term>Occlusion intestinale (étiologie)</term>
<term>Pandémies (prévention et contrôle)</term>
<term>Pneumopathie virale (diagnostic)</term>
<term>Pneumopathie virale (imagerie diagnostique)</term>
<term>Pneumopathie virale (physiopathologie)</term>
<term>Pneumopathie virale (prévention et contrôle)</term>
<term>Pneumopathie virale (thérapie)</term>
<term>Pneumopathie virale (virologie)</term>
<term>Prévention des infections (méthodes)</term>
<term>Résultat thérapeutique (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Tomodensitométrie (méthodes)</term>
<term>Tumeurs du côlon (anatomopathologie)</term>
<term>Tumeurs du côlon (chirurgie)</term>
<term>Tumeurs du côlon (diagnostic)</term>
<term>Tumeurs du côlon (physiopathologie)</term>
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<term>Tumeurs du côlon</term>
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<term>Occlusion intestinale</term>
<term>Tumeurs du côlon</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Colonic Neoplasms</term>
<term>Coronavirus Infections</term>
<term>Intestinal Obstruction</term>
<term>Pneumonia, Viral</term>
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<term>Infections à coronavirus</term>
<term>Occlusion intestinale</term>
<term>Pneumopathie virale</term>
<term>Tumeurs du côlon</term>
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<term>Pneumopathie virale</term>
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<term>Betacoronavirus</term>
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<term>Betacoronavirus</term>
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<term>Colectomy</term>
<term>Infection Control</term>
<term>Tomography, X-Ray Computed</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr">
<term>Colectomie</term>
<term>Prévention des infections</term>
<term>Tomodensitométrie</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Colon, Ascending</term>
<term>Colonic Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr">
<term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
<term>Tumeurs du côlon</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Colonic Neoplasms</term>
<term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en">
<term>Coronavirus Infections</term>
<term>Pandemics</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr">
<term>Infections à coronavirus</term>
<term>Pandémies</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Colonic Neoplasms</term>
<term>Intestinal Obstruction</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr">
<term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr">
<term>Infections à coronavirus</term>
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<keywords scheme="MESH" qualifier="virologie" xml:lang="fr">
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="virology" xml:lang="en">
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
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<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Treatment Outcome</term>
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<term>Humains</term>
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<term>Sujet âgé</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>BACKGROUND</b>
</p>
<p>Cancer patients are at increased risk of novel coronavirus disease 2019 (COVID-19). Currently, surgeries for cancer patients with COVID-19 are generally suggested to be properly delayed.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CASE PRESENTATION</b>
</p>
<p>We presented a 69-year-old Chinese female colon cancer patient with COVID-19, the first case accepted the surgical treatment during the pandemic in China. The patient developed a fever on January 28, 2020. After treatments with Ceftriaxone and Abidol, her fever was not moderated yet. A repeat chest computed tomography (CT) scan showed significantly exacerbated infectious lesions with a positive result for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) nucleic acid. An abdomen CT scan indicated the tumor of ascending colon with local wrapped changes. She was diagnosed with 'Severe novel coronavirus pneumonia' and 'Incomplete bowel obstruction: Colon cancer?'. After actively anti-inflammatory and anti-viral therapies, a right colectomy with lymph node dissection was performed on March 11, followed by a pathological examination. The patient successfully recovered from COVID-19 pneumonia and incomplete bowel obstruction after surgery without any postoperative related complications and was discharged on the 9th day after operation. Significant degeneration, necrosis and slough of focal intestinal and colonic mucosal epithelial cells were observed under microscope. No surgeons, nurses or anesthetists in our team were infected with SARS-CoV-2.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>It is meaningful and imperative to share our experience of protecting health care personnels from SARS-CoV-2 infection and providing references for optimizing treatment of cancer patients, at least for the operative intervention with absolute necessity or surgical emergency, during the outbreak of COVID-19.</p>
</div>
</front>
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<Year>2020</Year>
<Month>08</Month>
<Day>26</Day>
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<DateRevised>
<Year>2020</Year>
<Month>08</Month>
<Day>26</Day>
</DateRevised>
<Article PubModel="Electronic">
<Journal>
<ISSN IssnType="Electronic">1471-230X</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>20</Volume>
<Issue>1</Issue>
<PubDate>
<Year>2020</Year>
<Month>Aug</Month>
<Day>14</Day>
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<Title>BMC gastroenterology</Title>
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<ArticleTitle>The aggressive surgical treatment and outcome of a colon cancer patient with COVID-19 in Wuhan, China.</ArticleTitle>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Cancer patients are at increased risk of novel coronavirus disease 2019 (COVID-19). Currently, surgeries for cancer patients with COVID-19 are generally suggested to be properly delayed.</AbstractText>
<AbstractText Label="CASE PRESENTATION" NlmCategory="METHODS">We presented a 69-year-old Chinese female colon cancer patient with COVID-19, the first case accepted the surgical treatment during the pandemic in China. The patient developed a fever on January 28, 2020. After treatments with Ceftriaxone and Abidol, her fever was not moderated yet. A repeat chest computed tomography (CT) scan showed significantly exacerbated infectious lesions with a positive result for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) nucleic acid. An abdomen CT scan indicated the tumor of ascending colon with local wrapped changes. She was diagnosed with 'Severe novel coronavirus pneumonia' and 'Incomplete bowel obstruction: Colon cancer?'. After actively anti-inflammatory and anti-viral therapies, a right colectomy with lymph node dissection was performed on March 11, followed by a pathological examination. The patient successfully recovered from COVID-19 pneumonia and incomplete bowel obstruction after surgery without any postoperative related complications and was discharged on the 9th day after operation. Significant degeneration, necrosis and slough of focal intestinal and colonic mucosal epithelial cells were observed under microscope. No surgeons, nurses or anesthetists in our team were infected with SARS-CoV-2.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">It is meaningful and imperative to share our experience of protecting health care personnels from SARS-CoV-2 infection and providing references for optimizing treatment of cancer patients, at least for the operative intervention with absolute necessity or surgical emergency, during the outbreak of COVID-19.</AbstractText>
</Abstract>
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</AffiliationInfo>
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<Citation>Lancet. 2020 Feb 15;395(10223):470-473</Citation>
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<ArticleId IdType="pubmed">31986257</ArticleId>
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<Citation>Zhonghua Bing Li Xue Za Zhi. 2020 May 8;49(5):411-417</Citation>
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<Citation>N Engl J Med. 2020 Feb 20;382(8):760-762</Citation>
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<ArticleId IdType="pubmed">31978944</ArticleId>
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<ArticleId IdType="pubmed">32066541</ArticleId>
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<Reference>
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<ArticleId IdType="pubmed">32074719</ArticleId>
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<Citation>J Thorac Oncol. 2020 May;15(5):700-704</Citation>
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<Citation>Lancet Infect Dis. 2020 Apr;20(4):400-402</Citation>
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<Citation>J Thorac Oncol. 2020 May;15(5):e63-e64</Citation>
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