Patients with cancer may have a higher risk of symptomatic infection with COVID-19, according to recent publications.

It is of utmost importance to organize the care of patients with cancer without delays, and with a maximum security

For these reasons, during COVID-19 epidemic, in all countries, protection materials and physical distance measures should be advised for cancer patients.

The specific organisation of the management of cancer patient depends of course on the country and on the incidence of COVID-19 in this country.

The following general principles can be expressed

  • All patients should then take the measures of isolation, and avoid contact with patients with clinical symptoms (fever, cough, sneezing) especially if they are on active treatment
  • Cancer treatment should be continued, under the strict supervision of the physician, if relevant and possible with teleconsultation monitoring.
  • Patients with symptoms (fever, cough, sneezing) should inform immediately their physician for a possible adaptation of the treatment.
  • Routine visits and CT scans may be postponed for a few weeks to avoid travels.
  • when delays are foreseen on an individual risk/benefit profile, patients should contact their physician to discuss risk/benefit of delays and treatment

Overall, patients with rare cancers should contact their doctors to discuss the optimal management of their disease during the covid-19 epidemic, being ensured that everything possible will be implemented to enable the optimal management of their disease and their security.

ESMO Recommendations on Cancer Patient Management During the COVID-19 Pandemic