Karmacharya Paras, Shahukhal Ravi, Ogdie Alexis
Division of Rheumatology, Department of Medicine, Mayo Clinic, Mayo Clinic College of Medicine, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: https://twitter.com/paraskarmachary.
Division of Internal Medicine, Lakes Regional General Hospital, 80 Highland Street, Laconia, NH 03246, USA.
Rheum Dis Clin North Am. 2020 Aug;46(3):463-511. doi: 10.1016/j.rdc.2020.04.001. Epub 2020 Jun 11.
Systematic inflammatory diseases, including rheumatoid arthritis (RA), are associated with an increased risk of malignancies. However, the pathogenesis of spondyloarthritis (SpA), which includes both ankylosing spondylitis and psoriatic arthritis, is different from RA, and the risk of malignancy and sites involved may also be different. It is important to better understand associations of SpA with site-specific cancers to facilitate appropriate cancer screening. The goal of this review was to examine the association of SpA with malignancy and the potential impact of therapy for SpA on development of malignancy.
包括类风湿性关节炎(RA)在内的系统性炎症性疾病与恶性肿瘤风险增加相关。然而,包括强直性脊柱炎和银屑病关节炎在内的脊柱关节炎(SpA)的发病机制与RA不同,其恶性肿瘤风险及受累部位可能也有所不同。更好地了解SpA与特定部位癌症的关联对于促进适当的癌症筛查很重要。本综述的目的是研究SpA与恶性肿瘤的关联以及SpA治疗对恶性肿瘤发生的潜在影响。