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Inborn Errors of Immunity and Cancer
Alessandra Tiri1, Riccardo Masetti2, Francesca Conti2
1Pediatric Clinic, Pietro Barilla Children's Hospital, University of Parma, 43126 Parma, Italy.
Inborn Errors of Immunity (IEI) increase cancer risk in children, ranging from 4-25%. Early detection and collaboration between immunologists and oncologists are crucial for managing cancer in IEI patients.
Area of Science:
- Immunology
- Oncology
- Genetics
Background:
- Inborn Errors of Immunity (IEI) are genetic disorders affecting immune system function.
- IEI patients exhibit a higher susceptibility to various health complications, including malignancies.
Purpose of the Study:
- To review the epidemiology, pathogenesis, and management of tumors in patients with Inborn Errors of Immunity.
- To highlight the increased cancer risk associated with IEI and inform clinical practice.
Main Methods:
- A narrative review of studies published in PubMed over the last 20 years.
- Keywords used: "inborn errors of immunity" or "primary immunodeficiency" and "cancer" or "tumour" or "malignancy".
Main Results:
- The overall cancer risk in children with IEI ranges from 4% to 25%.
- Factors influencing cancer development include patient age, viral infection status, and specific IEI type.
- Certain IEI types are associated with specific cancer risks.
Conclusions:
- A synergistic approach between immunologists and oncologists is vital for early cancer detection in IEI patients.
- Establishing an international registry for IEI and malignancy data is essential for improving diagnosis and treatment outcomes.
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