Delaying cancer cases in urology during COVID-19: review of the literature.

Title

Delaying cancer cases in urology during COVID-19: review of the literature.

Creator

Tachibana I; Ferguson EL; Mahenthiran A; Natarajan JP; Masterson TA; Bahler CD; Sundaram CP

Publisher

The Journal of Urology

Date

2020
2020-07-17

Description

PURPOSE: Coronavirus Disease 2019 (COVID-19) is a global pandemic affecting hospital systems and the availability of resources for surgical procedures. Our aim is to provide guidance for urologists to help prioritize urologic cancer surgeries. MATERIAL AND METHODS: We reviewed published literature on bladder cancer, upper tract urothelial carcinoma (UTUC), penile cancer, testis cancer, prostate cancer, renal cancer, and adrenal cancer. RESULTS: For muscle invasive bladder cancer (MIBC), delays should be less than roughly 10 weeks and neoadjuvant chemotherapy should be considered. For non-MIBC, patients should be counseled appropriately based on risk and intravesical therapies can continue. UTUC should also be treated with minimal delays for high risk patients, especially with ureteral tumors. Surgery for T1 renal cancers when indicated can be delayed until adequate resources are available. Patients with T2 renal cancer should be considered for early surgery if there are unfavorable pre-operative characteristics. Higher stage renal tumors should be considered for early surgery. Early multi-disciplinary approach is recommended for metastatic renal cancers. High risk prostate cancer may need preferential treatment and consideration of neoadjuvant hormonal therapy. Penile cancer can have worse sexual or oncologic outcome with prolonged surgical delay. Likewise, adrenal cancer is aggressive and needs early surgical treatment. Testicular cancer should be treated in a timely manner with surgery or chemotherapy, as indicated. CONCLUSIONS: This review should further assist urologists in recognizing patients with potentially aggressive tumor biology that warrant early treatment.

Subject

Urologic Surgical Procedures; Coronavirus; COVID-19; Urologic Neoplasm

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Format

journalArticle

Search for Full-text

Users with a NEOMED Library login can search for full-text journal articles at the following url: https://libraryguides.neomed.edu/home

Pages

101097JU0000000000001288

ISSN

1527-3792 0022-5347

NEOMED College

NEOMED College of Medicine

NEOMED Department

NEOMED Student Publications

Update Year & Number

August 2020 List

Citation

Tachibana I; Ferguson EL; Mahenthiran A; Natarajan JP; Masterson TA; Bahler CD; Sundaram CP, “Delaying cancer cases in urology during COVID-19: review of the literature.,” NEOMED Bibliography Database, accessed January 27, 2021, https://neomed.omeka.net/items/show/11237.

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