鼻结节和恶性疾病之间的关联:现实世界多中心回顾性队列研究
Yu-Hsiang Lin1, Yu-Ching Wang1, Tai-Li Chen1
1Department of Dermatology, Taipei Veterans General Hospital, Taipei, Taiwan.
The Journal of dermatology
|December 12, 2025
概括
结节 (PN) 患者面临患各种癌症,特别是皮肤癌的风险显著增加. 提高临床警对于在这个患者群体中早期检测至关重要.
科学领域:
- 皮肤病学 皮肤病学
- 在瘤学瘤学.
- 流行病学 流行病学
背景情况:
- 节炎 (PN) 是一种与系统性疾病相关的慢性炎症性皮肤疾病.
- 预后性瘤与恶性瘤风险增加之间的关联尚未得到充分证实.
研究的目的:
- 调查 Prurigo nodularis 与发展恶性瘤的风险之间的关联.
- 为了确定与PN相关的特定癌症类型.
主要方法:
- 使用美国TrinetX数据库 (2016-2022) 进行了一项回顾性队列研究.
- 10,941名患有PN的成年人与没有PN的对照进行了1:1匹配.
- 考克斯的比例危险模型用于计算危险比率 (HR) 和95%置信区间 (CI).
主要成果:
- 患有PN的患者显示恶性瘤的风险显著增加 (HR 2.10;95% CI 1.81-2.43).
- 皮肤状细胞癌 (HR 4.24),基底细胞癌 (HR 2.49),造血细胞癌 (HR 1.97),胃肠道癌 (HR 1.87),呼吸系统癌 (HR 1.86) 和女性生殖器癌 (HR 2.77) 的风险增加.
结论:
- 结与恶性瘤,特别是皮肤癌症的风险大幅增加有关.
- 提高临床警和进一步研究潜在的机制和查对于PN患者是有必要的.
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