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系统性红斑狼疮中的恶性肿瘤。

Malignancies in systemic lupus erythematosus.

机构信息

National Institute of Rheumatology and Physiotherapy, Budapest, Hungary.

出版信息

Autoimmun Rev. 2010 Feb;9(4):195-9. doi: 10.1016/j.autrev.2009.07.004. Epub 2009 Jul 27.

DOI:10.1016/j.autrev.2009.07.004
PMID:19643208
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3880771/
Abstract

Systemic lupus erythematosus (SLE) is a prototypical systemic autoimmune disease, characterized by a wide array of symptoms and organ involvements, leading to varying disease courses and outcome, and ranging from mild to severe types. In patients with SLE, the incidence and risk of malignancy development is increased, and mostly non-Hodgkin's lymphoma (NHL), cervical cancer, as well as bronchial carcinomas occur. Besides others, the common genetic predisposition, chronic antigen stimulus, disproportional immune responses, as well as the chronic administration of immunosuppressive medications can contribute to the development of malignancies in lupus. In this review we present the molecular pathology, as well as the epidemiological and clinical aspects of malignancies in patients with SLE.

摘要

系统性红斑狼疮(SLE)是一种典型的系统性自身免疫性疾病,其特征为广泛的症状和器官受累,导致不同的疾病过程和结局,从轻到重不等。在 SLE 患者中,恶性肿瘤的发病率和风险增加,主要是非霍奇金淋巴瘤(NHL)、宫颈癌以及支气管癌。除其他因素外,常见的遗传易感性、慢性抗原刺激、不成比例的免疫反应以及慢性免疫抑制药物治疗也可能导致狼疮患者发生恶性肿瘤。在这篇综述中,我们介绍了 SLE 患者恶性肿瘤的分子病理学以及流行病学和临床方面。

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本文引用的文献

1
Cancer risk in systemic lupus: an updated international multi-centre cohort study.系统性红斑狼疮的癌症风险:一项更新的国际多中心队列研究。
J Autoimmun. 2013 May;42:130-5. doi: 10.1016/j.jaut.2012.12.009. Epub 2013 Feb 12.
2
Lymphoma risk in systemic lupus: effects of disease activity versus treatment.系统性红斑狼疮中的淋巴瘤风险:疾病活动与治疗的影响。
Ann Rheum Dis. 2014 Jan;73(1):138-42. doi: 10.1136/annrheumdis-2012-202099. Epub 2013 Jan 8.
3
Decreased breast cancer risk in systemic lupus erythematosus: the search for a genetic basis continues.系统性红斑狼疮患者乳腺癌发病风险降低:探寻遗传基础。
Lupus. 2012 Jul;21(8):896-9. doi: 10.1177/0961203312443992. Epub 2012 Apr 11.
4
Effect of autoimmune diseases on risk and survival in histology-specific lung cancer.自身免疫性疾病对组织学特异性肺癌风险和生存的影响。
Eur Respir J. 2012 Dec;40(6):1489-95. doi: 10.1183/09031936.00222911. Epub 2012 Feb 9.
5
Patients with systemic lupus erythematosus (SLE) having developed malignant lymphomas. Complete remission of lymphoma following high-dose chemotherapy, but not of SLE.系统性红斑狼疮(SLE)患者发生恶性淋巴瘤。大剂量化疗后淋巴瘤完全缓解,但 SLE 未缓解。
Clin Exp Rheumatol. 2011 May-Jun;29(3):555-9. Epub 2011 Jun 30.
6
Breast, ovarian, and endometrial malignancies in systemic lupus erythematosus: a meta-analysis.系统性红斑狼疮中的乳腺、卵巢和子宫内膜恶性肿瘤:一项荟萃分析。
Br J Cancer. 2011 Apr 26;104(9):1478-81. doi: 10.1038/bjc.2011.115. Epub 2011 Apr 12.
7
Prostate cancer in systemic lupus erythematosus.系统性红斑狼疮中的前列腺癌。
Int J Cancer. 2011 Dec 15;129(12):2966-9. doi: 10.1002/ijc.25956. Epub 2011 Mar 29.
8
Inflammation driven by tumour-specific Th1 cells protects against B-cell cancer.肿瘤特异性 Th1 细胞驱动的炎症可预防 B 细胞癌。
Nat Commun. 2011;2:240. doi: 10.1038/ncomms1239.
9
Development of quality indicators to evaluate the monitoring of SLE patients in routine clinical practice.制定质量指标以评估常规临床实践中 SLE 患者的监测情况。
Autoimmun Rev. 2011 May;10(7):383-8. doi: 10.1016/j.autrev.2010.12.008. Epub 2011 Jan 9.
10
Systemic lupus erythematosus, human papillomavirus infection, cervical pre-malignant and malignant lesions: a systematic review.系统性红斑狼疮、人乳头瘤病毒感染、宫颈前病变和恶性病变:系统评价。
Clin Rheumatol. 2011 May;30(5):665-72. doi: 10.1007/s10067-010-1606-0. Epub 2010 Oct 31.