Develoux M
Service de parasitologie-mycologie, Hôpital Saint Antoine, 184 rue du Faubourg Saint Antoine, 75012, Paris, France.
Bull Soc Pathol Exot. 2017 Feb;110(1):80-84. doi: 10.1007/s13149-017-0543-9. Epub 2017 Feb 11.
Various infectious agents are classical risk factors for cancer including bacteria, viruses and parasites. There is less evidence concerning the implication of fungal infection in carcinogenesis. The role of chronic Candida infection in the development of squamous cell carcinoma has been suspected for years. Candida sp are more prevalent in potentially malignant disorder and cancer of the oral mucosa. Other epidemiological evidence of a link between Candida infection and cancer is what is observed in patients with Autoimmune Polyendocrinopathy Candidiasis Ectodermal Dystrophy (APECED). Oral and oesophagal carcinoma are frequent in these patients with chronic mucocutaneous candidiasis. Production of nitrosamine and metabolism of procarcinogen are mecanisms in which Candida sp may be involved in oral cancer development. In chromomycosis and lobomycosis chronic lesions may have a risk of malignant transformation. A diagnosis of paracoccidioidomycosis appears to increase the risk of lung cancer.
多种感染因子是癌症的经典风险因素,包括细菌、病毒和寄生虫。关于真菌感染在致癌过程中的影响,证据较少。多年来一直怀疑慢性念珠菌感染在鳞状细胞癌发展中的作用。念珠菌在口腔黏膜潜在恶性疾病和癌症中更为普遍。念珠菌感染与癌症之间联系的其他流行病学证据可见于自身免疫性多内分泌病念珠菌病外胚层营养不良(APECED)患者。这些患有慢性黏膜皮肤念珠菌病的患者常发生口腔和食管癌。亚硝胺的产生和致癌物前体的代谢是念珠菌可能参与口腔癌发展的机制。在着色芽生菌病和洛博芽生菌病中,慢性病变可能有恶变风险。副球孢子菌病的诊断似乎会增加患肺癌的风险。