Opportunities and challenges encountered in managing cervical cancer during the coronavirus disease 2019 pandemic.

IF 3.1 2区医学 Q3 IMMUNOLOGY Infectious Agents and Cancer Pub Date : 2024-08-29 DOI:10.1186/s13027-024-00594-3

Shixiang Dong, Yankui Wang, Yu Ding

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Abstract

Objectives: The COVID-19 pandemic, while putting pressure on the global healthcare system, has had a significant impact on the prevention, diagnosis, and treatment of cervical cancer. The aim of this study is to provide an overview of the challenges and opportunities presented to cervical cancer during the COVID-19 pandemic and to provide lessons for better coping with cervical cancer in future pandemics.

Methods: The search terms included the following: SARS-CoV-2 and/or COVID-19 with cervical cancer and HPV. The initial literature search began on June 1, 2022 and ended on March 1, 2023.

Outcome: COVID-19 has hindered the cervical cancer screening, delayed the diagnosis and treatment of cervical cancer, increased the public's anxiety, and negatively affected the management of cervical cancer. However, the occurrence of COVID-19 pandemic has promoted the development of new human papillomavirus (HPV) tests and improved the rates of HPV self-sampling, offering a small window of opportunity to eliminate cervical cancer.

Conclusions: In the next few years, the COVID-19 pandemic will come to an end, and the eradication of cervical cancer should always be carried out. We should draw lessons and experience from this global pandemic, and make efforts for the subsequent eradication of cervical cancer.

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2019 年冠状病毒疾病大流行期间宫颈癌管理所遇到的机遇和挑战。

目标：COVID-19 大流行在给全球医疗保健系统带来压力的同时，也对宫颈癌的预防、诊断和治疗产生了重大影响。本研究旨在概述 COVID-19 大流行期间宫颈癌所面临的挑战和机遇，并为在未来的大流行中更好地应对宫颈癌提供借鉴：搜索关键词包括SARS-CoV-2和/或COVID-19与宫颈癌和HPV。最初的文献检索从 2022 年 6 月 1 日开始，到 2023 年 3 月 1 日结束：COVID-19阻碍了宫颈癌的筛查，延误了宫颈癌的诊断和治疗，增加了公众的焦虑，对宫颈癌的管理产生了负面影响。然而，COVID-19 大流行的发生促进了新型人乳头瘤病毒（HPV）检测方法的发展，提高了 HPV 自我采样率，为消除宫颈癌提供了一个小小的机会之窗：未来几年，COVID-19 大流行将告一段落，根除宫颈癌的工作应始终坚持下去。我们应从这次全球大流行中吸取教训和经验，为以后根除宫颈癌做出努力。

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来源期刊

Infectious Agents and Cancer ONCOLOGY-IMMUNOLOGY

CiteScore

5.80

自引率

2.70%

发文量

期刊介绍： Infectious Agents and Cancer is an open access, peer-reviewed online journal that encompasses all aspects of basic, clinical, epidemiological and translational research providing an insight into the association between chronic infections and cancer. The journal welcomes submissions in the pathogen-related cancer areas and other related topics, in particular: • HPV and anogenital cancers, as well as head and neck cancers; • EBV and Burkitt lymphoma; • HCV/HBV and hepatocellular carcinoma as well as lymphoproliferative diseases; • HHV8 and Kaposi sarcoma; • HTLV and leukemia; • Cancers in Low- and Middle-income countries. The link between infection and cancer has become well established over the past 50 years, and infection-associated cancer contribute up to 16% of cancers in developed countries and 33% in less developed countries. Preventive vaccines have been developed for only two cancer-causing viruses, highlighting both the opportunity to prevent infection-associated cancers by vaccination and the gaps that remain before vaccines can be developed for other cancer-causing agents. These gaps are due to incomplete understanding of the basic biology, natural history, epidemiology of many of the pathogens that cause cancer, the mechanisms they exploit to cause cancer, and how to interrupt progression to cancer in human populations. Early diagnosis or identification of lesions at high risk of progression represent the current most critical research area of the field supported by recent advances in genomics and proteomics technologies.