• Rev Assoc Med Bras (1992) · Jan 2021

    Review

    Dealing with cancer screening in the COVID-19 era.

    • Thales Pardini Fagundes, Ronniel Morais Albuquerque, Diego Lopes Paim Miranda, Luciana Castro Garcia Landeiro, Gabriel Souza Fontes Ayres, Caenna Corrêa E Correia, and Angélica Nogueira-Rodrigues.
    • Universidade Federal de Minas Gerais, School of Medicine - Belo Horizonte (MG), Brasil.
    • Rev Assoc Med Bras (1992). 2021 Jan 1; 67Suppl 1 (Suppl 1): 86-90.

    ObjectiveThis article aims to alert health professionals for cancer screening in the face of the possibility of new waves of disease.MethodsA narrative review was conducted through a search in MEDLINE, Lilacs, Chinese Biomedical Literature Database, and international medical societies publications.ResultsBreast 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.ConclusionsThe decision to keep cancer screening must be discussed and individualized, considering the possibility of new waves of COVID-19.

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