Dealing with cancer screening in the COVID-19 era

Autor: Luciana Castro Garcia Landeiro, Diego Lopes Paim Miranda, Caenna Corrêa E Correia, Angélica Nogueira-Rodrigues, Gabriel Souza Fontes Ayres, Ronniel Morais Albuquerque, Thales Pardini Fagundes
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Revista da Associação Médica Brasileira, Vol 67, Iss suppl 1, Pp 86-90 (2021)
Revista da Associação Médica Brasileira v.67 suppl.1 2021
Revista da Associação Médica Brasileira
Associação Médica Brasileira (AMB)
instacron:AMB
Revista da Associação Médica Brasileira, Volume: 67 Supplement 1, Pages: 86-90, Published: 13 AUG 2021
ISSN: 1806-9282
Popis: SUMMARY OBJECTIVE: This article aims to alert health professionals for cancer screening in the face of the possibility of new waves of disease. METHODS: A narrative review was conducted through a search in MEDLINE, Lilacs, Chinese Biomedical Literature Database, and international medical societies publications. RESULTS: Breast cancer: in high-risk patients (confirmed familial cancer syndrome or with high-risk tools scores), clinicians should act according to usual recommendations; in average-risk individuals, consider screening with mammography with a longer time span (maximum of two years). Cervical cancer: women turning 25 years old who have already been immunized and with no previous Pap test can have the test postponed during the pandemic; if there is no previous dose of Human Papillomavirus vaccination, initiation of screening should be recommended following a more rigid approach for COVID prevention; in women over 30 years of age who have never participated in cervical screening, the first screening exam is also essential. Colorectal cancer: if the individual is at elevated risk for familial cancer, the screening with colonoscopy according to usual recommendations should be supported; if at average risk consider screening with Fecal Occult Blood Test. Prostate cancer: there is a trend to postpone routine prostate cancer screening until the pandemic subsides. CONCLUSIONS: The decision to keep cancer screening must be discussed and individualized, considering the possibility of new waves of COVID-19.
Databáze: OpenAIRE