Clinical Characteristics of Metastatic Prostate Cancer Patients Infected with COVID-19 in South Italy

Autor: Gianluca Ragone, Carlo Buonerba, Ciro Imbimbo, Antonella Sciarra, Giuseppe Di Lorenzo, Roberto Sanseverino, Concetta Ingenito, Emilio Leo, Sabino De Placido, Annamaria Libroia, Felice Crocetto, Simona Iaccarino, Giorgio Napodano, Luciana Buonerba, Zisis Kozlakidis
Přispěvatelé: Di Lorenzo, G, Buonerba, L, Ingenito, C, Crocetto, F, Buonerba, C, Libroia, A, Sciarra, A, Ragone, G, Sanseverino, R, Iaccarino, S, Napodano, G, Imbimbo, C, Leo, E, Kozlakidis, Z, De Placido, S, Di Lorenzo, G., Buonerba, L., Ingenito, C., Crocetto, F., Buonerba, C., Libroia, A., Sciarra, A., Ragone, G., Sanseverino, R., Iaccarino, S., Napodano, G., Imbimbo, C., Leo, E., Kozlakidis, Z., De Placido, S.
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Oncology
Male
Cancer Research
medicine.medical_treatment
Disease
Comorbidities
Prostate cancer
0302 clinical medicine
030212 general & internal medicine
Androgen Antagonist
Aged
80 and over

General Medicine
Middle Aged
Hospitalization
Prostatic Neoplasms
Castration-Resistant

Italy
030220 oncology & carcinogenesis
Urologic cancer
Disease Progression
Hormonal therapy
Drug Therapy
Combination

Comorbiditie
Human
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19)
Prognosi
Drug interaction
Coronavirus disease SARS-CoV-2
Pneumonia
Viral

Protective factor
Clinical Trial Note
03 medical and health sciences
Internal medicine
medicine
Risk factor
Aged
Antiviral Agent
Chemotherapy
Betacoronaviru
Pandemic
business.industry
Coronavirus Infection
Heparin
SARS-CoV-2
Risk Factor
COVID-19
medicine.disease
business
Zdroj: Oncology
Popis: Background: To date, the clinical characteristics of coronavirus disease 19 (COVID-19)-infected urologic cancer patients are unknown. Methods: We have analyzed all patients with prostate cancer undergoing hormonal or chemotherapy treatment and receiving telephone and in person pre-triage between March 1 and 27, 2020, at the Tortora Hospital, Pagani, Italy. Results: Among 72 patients, 48 and 24 were hormone-sensitive (HS) and castration-resistant prostate cancer (CRPC), respectively; 0 HS and 2 (8.3%) CRPC (p < 0.05) were positive for COVID-19. Both patients were receiving LHRH agonist therapy, and 1 patient was receiving enzalutamide. Urgent intensive care unit admission was required due to clinical worsening. Blood tests showed severe lymphopenia, anemia, and an increase in platelets. Retroviral therapy, antibiotics, heparin, and chloroquine were prescribed at the beginning. One patient also received tocilizumab as a salvage treatment. After 3 weeks of hospitalization, the patients were discharged from the hospital. Both patients suffered from an aggressive COVID-19 course due to concomitant comorbidities. Conclusions: Investigating whether hormonal therapy, especially in advanced disease, acts as a protective factor or a risk factor during COVID-19 could be useful.
Databáze: OpenAIRE