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Clinical courses and outcomes of five patients with primary lung cancer surgically treated while affected by Severe acute respiratory syndrome coronavirus 2.

Identifieur interne : 000752 ( Main/Exploration ); précédent : 000751; suivant : 000753

Clinical courses and outcomes of five patients with primary lung cancer surgically treated while affected by Severe acute respiratory syndrome coronavirus 2.

Auteurs : Alessandro Gonfiotti [Italie] ; Lavinia Gatteschi [Italie] ; Alberto Salvicchi [Italie] ; Stefano Bongiolatti [Italie] ; Federico Lavorini [Italie] ; Luca Voltolini [Italie]

Source :

RBID : pubmed:32856063

Descripteurs français

English descriptors

Abstract

OBJECTIVES

There is currently a lack of clinical data on the novel beta-coronavirus infection [caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)] and concomitant primary lung cancer. Our goal was to report our experiences with 5 patients treated for lung cancer while infected with SARS-CoV-2.

METHODS

We retrospectively evaluated 5 adult patients infected with SARS-CoV-2 who were admitted to our thoracic surgery unit between 29 January 2020 and 4 March 2020 for surgical treatment of a primary lung cancer. Clinical data and outcomes are reported.

RESULTS

All patients were men with a mean age of 74.0 years (range 67-80). Four of the 5 patients (80%) reported chronic comorbidities. Surgery comprised minimally invasive lobectomy (2 patients) and segmentectomy (1 patient), lobectomy with en bloc chest wall resection (1 patient) and pneumonectomy (1 patient). Mean chest drain duration was 12.4 days (range 8-22); mean hospital stay was 33.8 days (range 21-60). SARS-CoV-2-related symptoms were fever (3 patients), persistent cough (3 patients), diarrhoea (2 patients) and syncope (2 patients); 1 patient reported no symptoms. Morbidity related to surgery was 60%; 30-day mortality was 40%. Two patients (1 with a right pneumonectomy, 74 years old; 1 with a lobectomy with chest wall resection and reconstruction, 70 years old), developed SARS-CoV-2-related lung failure leading to death 60 and 32 days after surgery, respectively.

CONCLUSIONS

Lung cancer surgery may represent a high-risk factor for developing a severe case of coronavirus disease 2019, particularly in patients with advanced stages of lung cancer. Additional strategies are needed to reduce the risk of morbidity and mortality from SARS-CoV-2 infection during treatment for lung cancer.


DOI: 10.1093/ejcts/ezaa233
PubMed: 32856063
PubMed Central: PMC7499669


Affiliations:


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<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Carcinoma, Non-Small-Cell Lung (complications)</term>
<term>Carcinoma, Non-Small-Cell Lung (diagnosis)</term>
<term>Carcinoma, Non-Small-Cell Lung (mortality)</term>
<term>Carcinoma, Non-Small-Cell Lung (surgery)</term>
<term>Clinical Laboratory Techniques (MeSH)</term>
<term>Comorbidity (MeSH)</term>
<term>Coronavirus Infections (complications)</term>
<term>Coronavirus Infections (diagnosis)</term>
<term>Coronavirus Infections (mortality)</term>
<term>Cross Infection (prevention & control)</term>
<term>Elective Surgical Procedures (methods)</term>
<term>Female (MeSH)</term>
<term>Follow-Up Studies (MeSH)</term>
<term>Hospital Mortality (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Italy (MeSH)</term>
<term>Length of Stay (MeSH)</term>
<term>Lung Neoplasms (complications)</term>
<term>Lung Neoplasms (mortality)</term>
<term>Lung Neoplasms (pathology)</term>
<term>Lung Neoplasms (surgery)</term>
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<term>Pneumonia, Viral (complications)</term>
<term>Pneumonia, Viral (diagnosis)</term>
<term>Pneumonia, Viral (mortality)</term>
<term>Retrospective Studies (MeSH)</term>
<term>Sampling Studies (MeSH)</term>
<term>Severe Acute Respiratory Syndrome (complications)</term>
<term>Severe Acute Respiratory Syndrome (diagnosis)</term>
<term>Severe Acute Respiratory Syndrome (mortality)</term>
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<term>Carcinome pulmonaire non à petites cellules (diagnostic)</term>
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<term>Chirurgie thoracique vidéoassistée (méthodes)</term>
<term>Comorbidité (MeSH)</term>
<term>Durée du séjour (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Infection croisée (prévention et contrôle)</term>
<term>Infections à coronavirus (complications)</term>
<term>Infections à coronavirus (diagnostic)</term>
<term>Infections à coronavirus (mortalité)</term>
<term>Interventions chirurgicales non urgentes (méthodes)</term>
<term>Italie (MeSH)</term>
<term>Mortalité hospitalière (MeSH)</term>
<term>Mâle (MeSH)</term>
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<term>Pneumopathie virale (complications)</term>
<term>Pneumopathie virale (diagnostic)</term>
<term>Pneumopathie virale (mortalité)</term>
<term>Résultat thérapeutique (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Syndrome respiratoire aigu sévère (complications)</term>
<term>Syndrome respiratoire aigu sévère (diagnostic)</term>
<term>Syndrome respiratoire aigu sévère (mortalité)</term>
<term>Techniques de laboratoire clinique (MeSH)</term>
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<term>Tumeurs du poumon (chirurgie)</term>
<term>Tumeurs du poumon (complications)</term>
<term>Tumeurs du poumon (mortalité)</term>
<term>Études de suivi (MeSH)</term>
<term>Études par échantillonnage (MeSH)</term>
<term>Études rétrospectives (MeSH)</term>
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<term>Carcinoma, Non-Small-Cell Lung</term>
<term>Coronavirus Infections</term>
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<term>Carcinome pulmonaire non à petites cellules</term>
<term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
<term>Syndrome respiratoire aigu sévère</term>
<term>Tumeurs du poumon</term>
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<term>Chirurgie thoracique vidéoassistée</term>
<term>Interventions chirurgicales non urgentes</term>
<term>Pneumonectomie</term>
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<term>Lung Neoplasms</term>
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<term>Cross Infection</term>
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<term>Infection croisée</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Carcinoma, Non-Small-Cell Lung</term>
<term>Lung Neoplasms</term>
</keywords>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Clinical Laboratory Techniques</term>
<term>Comorbidity</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Hospital Mortality</term>
<term>Humans</term>
<term>Length of Stay</term>
<term>Male</term>
<term>Pandemics</term>
<term>Retrospective Studies</term>
<term>Sampling Studies</term>
<term>Treatment Outcome</term>
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<term>Carcinome pulmonaire non à petites cellules</term>
<term>Comorbidité</term>
<term>Durée du séjour</term>
<term>Femelle</term>
<term>Humains</term>
<term>Infections à coronavirus</term>
<term>Italie</term>
<term>Mortalité hospitalière</term>
<term>Mâle</term>
<term>Pandémies</term>
<term>Pneumopathie virale</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Syndrome respiratoire aigu sévère</term>
<term>Techniques de laboratoire clinique</term>
<term>Tumeurs du poumon</term>
<term>Études de suivi</term>
<term>Études par échantillonnage</term>
<term>Études rétrospectives</term>
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<p>
<b>OBJECTIVES</b>
</p>
<p>There is currently a lack of clinical data on the novel beta-coronavirus infection [caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)] and concomitant primary lung cancer. Our goal was to report our experiences with 5 patients treated for lung cancer while infected with SARS-CoV-2.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>We retrospectively evaluated 5 adult patients infected with SARS-CoV-2 who were admitted to our thoracic surgery unit between 29 January 2020 and 4 March 2020 for surgical treatment of a primary lung cancer. Clinical data and outcomes are reported.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>All patients were men with a mean age of 74.0 years (range 67-80). Four of the 5 patients (80%) reported chronic comorbidities. Surgery comprised minimally invasive lobectomy (2 patients) and segmentectomy (1 patient), lobectomy with en bloc chest wall resection (1 patient) and pneumonectomy (1 patient). Mean chest drain duration was 12.4 days (range 8-22); mean hospital stay was 33.8 days (range 21-60). SARS-CoV-2-related symptoms were fever (3 patients), persistent cough (3 patients), diarrhoea (2 patients) and syncope (2 patients); 1 patient reported no symptoms. Morbidity related to surgery was 60%; 30-day mortality was 40%. Two patients (1 with a right pneumonectomy, 74 years old; 1 with a lobectomy with chest wall resection and reconstruction, 70 years old), developed SARS-CoV-2-related lung failure leading to death 60 and 32 days after surgery, respectively.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>Lung cancer surgery may represent a high-risk factor for developing a severe case of coronavirus disease 2019, particularly in patients with advanced stages of lung cancer. Additional strategies are needed to reduce the risk of morbidity and mortality from SARS-CoV-2 infection during treatment for lung cancer.</p>
</div>
</front>
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<Year>2020</Year>
<Month>09</Month>
<Day>09</Day>
</DateCompleted>
<DateRevised>
<Year>2020</Year>
<Month>09</Month>
<Day>22</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1873-734X</ISSN>
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<Issue>3</Issue>
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<Year>2020</Year>
<Month>09</Month>
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<Title>European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery</Title>
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<Abstract>
<AbstractText Label="OBJECTIVES">There is currently a lack of clinical data on the novel beta-coronavirus infection [caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)] and concomitant primary lung cancer. Our goal was to report our experiences with 5 patients treated for lung cancer while infected with SARS-CoV-2.</AbstractText>
<AbstractText Label="METHODS">We retrospectively evaluated 5 adult patients infected with SARS-CoV-2 who were admitted to our thoracic surgery unit between 29 January 2020 and 4 March 2020 for surgical treatment of a primary lung cancer. Clinical data and outcomes are reported.</AbstractText>
<AbstractText Label="RESULTS">All patients were men with a mean age of 74.0 years (range 67-80). Four of the 5 patients (80%) reported chronic comorbidities. Surgery comprised minimally invasive lobectomy (2 patients) and segmentectomy (1 patient), lobectomy with en bloc chest wall resection (1 patient) and pneumonectomy (1 patient). Mean chest drain duration was 12.4 days (range 8-22); mean hospital stay was 33.8 days (range 21-60). SARS-CoV-2-related symptoms were fever (3 patients), persistent cough (3 patients), diarrhoea (2 patients) and syncope (2 patients); 1 patient reported no symptoms. Morbidity related to surgery was 60%; 30-day mortality was 40%. Two patients (1 with a right pneumonectomy, 74 years old; 1 with a lobectomy with chest wall resection and reconstruction, 70 years old), developed SARS-CoV-2-related lung failure leading to death 60 and 32 days after surgery, respectively.</AbstractText>
<AbstractText Label="CONCLUSIONS">Lung cancer surgery may represent a high-risk factor for developing a severe case of coronavirus disease 2019, particularly in patients with advanced stages of lung cancer. Additional strategies are needed to reduce the risk of morbidity and mortality from SARS-CoV-2 infection during treatment for lung cancer.</AbstractText>
<CopyrightInformation>© The Author(s) 2020. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.</CopyrightInformation>
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<LastName>Gonfiotti</LastName>
<ForeName>Alessandro</ForeName>
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</AffiliationInfo>
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<ForeName>Lavinia</ForeName>
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