系统性硬化症患者的恶性疾病相关风险因素
Serdar Baysal1, Didem Şahin2, Serdar Sezer2
1Department of Internal Medicine, Faculty of Medicine, Ankara University, Ankara, Turkey.
Journal of scleroderma and related disorders
|March 24, 2025
概括
系统性硬化症增加了癌症的风险,肺癌是最常见的. 诊断时的晚年是关键的风险因素,这表明这些患者的癌症查需要加强.
科学领域:
- 类风湿病学 类风湿病学
- 在瘤学瘤学.
- 流行病学 流行病学
背景情况:
- 系统性硬化症 (SSc) 与癌症发病率的增加有关.
- 了解SSc中的特定恶性瘤和风险因素对于患者管理至关重要.
研究的目的:
- 为了识别系统性硬化症患者的常见癌症.
- 为了确定与这一群体癌症风险增加相关的因素.
主要方法:
- 一个单一的中心,回顾性研究.
- 分析了2005年1月至2021年12月252名全身性硬化症患者的医疗记录.
主要成果:
- 在252名患者中,有19名患有恶性瘤.
- 肺癌是最常见的恶性瘤.
- 在SSc诊断时的晚年显著增加恶性瘤风险 (p=0.017).
- 没有发现与性别,随访,SSc类型,器官参与,吸烟,血清学,并发症或DMARDs的相关性.
结论:
- 系统性硬化症诊断时的晚年是癌症的独立风险因素.
- 考虑在老年SSc患者中加强癌症查是有必要的.
- 通常使用的疾病修饰性抗风湿药物 (DMARDs),如甲甲酸盐,环胺,亚扎西奥普林和mycophenolate mofetil似乎不会增加癌症风险.
更多相关视频
10:21Author Spotlight: Exploring the Role of Inflammation in the Co-occurrence of Primary Sjogren's Syndrome and Lung Adenocarcinoma
Published on: September 20, 2024
362
06:46Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
Published on: September 27, 2024
195
相关概念视频
Cancer Prevention
6.0K
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
6.0K
Skin Cancer
3.0K
Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
3.0K
Abnormal Proliferation
4.4K
Under normal conditions, most adult cells remain in a non-proliferative state unless stimulated by internal or external factors to replace lost cells. Abnormal cell proliferation is a condition in which the cell's growth exceeds and is uncoordinated with normal cells. In such situations, cell division persists in the same excessive manner even after cessation of the stimuli, leading to persistent tumors. The tumor arises from the damaged cells that replicate to pass the damage to the...
4.4K
Psychoneuroimmunology: Diabetes and Cancer
20
Chronic stress has been linked to both the onset and progression of serious health conditions, including Type 2 diabetes and cancer. Type 2 diabetes, a widespread chronic illness, is closely associated with obesity and insulin resistance, both of which often worsen under stress. Studies indicate that men experiencing high levels of chronic stress face a 45% higher risk of developing diabetes compared to those with minimal stress. Stress triggers physiological responses that elevate blood...
20
The Tumor Microenvironment
6.5K
Every normal cell or tissue is embedded in a complex local environment called stroma, consisting of different cell types, a basal membrane, and blood vessels. As normal cells mutate and develop into cancer cells, their local environment also changes to allow cancer progression. The tumor microenvironment (TME) consists of a complex cellular matrix of stromal cells and the developing tumor. The cross-talk between cancer cells and surrounding stromal cells is critical to disrupt normal tissue...
6.5K
Cancers Originate from Somatic Mutations in a Single Cell
11.4K
Cancer arises from mutations in the critical genes that allow healthy cells to escape cell cycle regulation and acquire the ability to proliferate indefinitely. Though originating from a single mutation event in one of the originator cells, cancer progresses when the mutant cell lines continue to gain more and more mutations, and finally, become malignant. For example, chronic myelogenous leukemia (CML) develops initially as a non-lethal increase in white blood cells, which progressively...
11.4K
