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Care of immunocompromised patients with head and neck cancer during the COVID-19 pandemic: Two challenging and informative clinical cases.
- Source :
-
Head & neck [Head Neck] 2020 Jun; Vol. 42 (6), pp. 1131-1136. Date of Electronic Publication: 2020 Apr 22. - Publication Year :
- 2020
-
Abstract
- 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.<br />Results: After careful consideration of the options, we took different approaches in the care of these two patients.<br />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.<br /> (© 2020 Wiley Periodicals, Inc.)
- Subjects :
- Adult
COVID-19
Clinical Decision-Making
Communicable Disease Control methods
Disease Management
Female
Follow-Up Studies
Head and Neck Neoplasms pathology
Humans
Interdisciplinary Communication
Laryngeal Neoplasms pathology
Laryngeal Neoplasms surgery
Male
Middle Aged
Mouth Neoplasms pathology
Mouth Neoplasms surgery
Patient Safety
Risk Assessment
Sampling Studies
Time Factors
United States
Vocal Cords pathology
Vocal Cords surgery
Conservative Treatment methods
Coronavirus Infections epidemiology
Head and Neck Neoplasms therapy
Immunocompromised Host
Pandemics prevention & control
Pneumonia, Viral epidemiology
Time-to-Treatment organization & administration
Subjects
Details
- Language :
- English
- ISSN :
- 1097-0347
- Volume :
- 42
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Head & neck
- Publication Type :
- Academic Journal
- Accession number :
- 32298006
- Full Text :
- https://doi.org/10.1002/hed.26165