Lin Yu-Chih, Wu Chen-Ching, Ou Tsan-Teng, Yen Jeng-Hsien, Liu Hong-Wen, Tsai Wen-Chan
Department of Internal Medicine, Rheumatology Unit, Kaohsiung Medical University Hospital, Kaohsiung City 807, Taiwan, ROC.
Clin Rheumatol. 2006 Mar;25(2):262-4. doi: 10.1007/s10067-005-1159-9. Epub 2005 Jul 12.
Many autoimmune diseases have been reported to be associated with malignancy. Mixed connective tissue disease (MCTD), however, has rarely been associated with malignancy. Thymoma is one of the neoplasms often reported to be related to various immunological disorders. Among the types of thymoma defined by WHO, malignant thymoma (thymoma type C) is the one least reported to be associated with autoimmune disease. Here, we report a case of malignant thymoma with concurrent MCTD, which manifested with acrosclerosis, Raynaud's phenomenon, arthritis (synovitis), and a high titer of anti-ribonucleoprotein antibody.
许多自身免疫性疾病据报道与恶性肿瘤有关。然而,混合性结缔组织病(MCTD)很少与恶性肿瘤相关。胸腺瘤是经常被报道与各种免疫紊乱有关的肿瘤之一。在世界卫生组织定义的胸腺瘤类型中,恶性胸腺瘤(C型胸腺瘤)与自身免疫性疾病相关的报道最少。在此,我们报告一例并发MCTD的恶性胸腺瘤病例,其表现为肢端硬化、雷诺现象、关节炎(滑膜炎)以及高滴度抗核糖核蛋白抗体。