Reuss-Borst M
Fachklinik für Rheumatologie und Onkologie, Klinik Am Kurpark, Kurhausstrasse 9, Bad Kissingen,Germany.
Z Rheumatol. 2011 Sep;70(7):561-6. doi: 10.1007/s00393-011-0816-4.
Paraneoplastic syndromes are observed in up to 8% of tumor patients. These disorders arise from tumor secretion of hormones, peptides, growth factors or cytokines or from immune cross-reactivity between malignant and normal tissues. Among many others paraneoplastic syndromes may also affect the rheumatologic system resulting in various musculoskeletal symptoms and/or syndromes. On the other hand, mainly hematological or lymphoproliferative diseases may also cause rheumatic symptoms by cell invasion or when affecting cellular elements of blood or the coagulation system. The aim of this article is to provide an overview of the various associations between rheumatic symptoms and hemato-oncological diseases which might be of importance in clinical practice.
高达8%的肿瘤患者会出现副肿瘤综合征。这些病症源于肿瘤分泌激素、肽、生长因子或细胞因子,或者源于恶性组织与正常组织之间的免疫交叉反应。在众多副肿瘤综合征中,也可能影响风湿系统,导致各种肌肉骨骼症状和/或综合征。另一方面,主要是血液系统或淋巴增殖性疾病,也可能通过细胞侵袭,或在影响血液细胞成分或凝血系统时引起风湿症状。本文旨在概述风湿症状与血液肿瘤疾病之间的各种关联,这些关联在临床实践中可能具有重要意义。