Department of Hematology, Central Hospital of Wuhan, Wuhan, China.
Department of Rheumatology and Immunology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Front Immunol. 2023 Feb 28;14:1095526. doi: 10.3389/fimmu.2023.1095526. eCollection 2023.
There is an increased risk of malignancies in patients with many systemic rheumatic diseases, which negatively impact on their quality of life. The risk and types of malignancies can differ by the type of rheumatic diseases. Possible mechanisms linking them are dynamic and complicated, including chronic inflammation and damage in rheumatic disease, inability to clear oncogenic infections, shared etiology and some anti-rheumatic therapies. Although certain disease-modifying anti-rheumatic drugs (DMARDs) have been proved to be potentially carcinogenic, the majority of them were not associated with increased risk of most malignancies in patients with systemic rheumatic diseases.
许多系统性风湿病患者的恶性肿瘤发病风险增加,这对他们的生活质量产生负面影响。恶性肿瘤的风险和类型因风湿病的类型而异。可能的发病机制是动态和复杂的,包括风湿病中的慢性炎症和损伤、无法清除致癌性感染、共同的病因和某些抗风湿治疗。虽然某些改善病情的抗风湿药物(DMARDs)已被证明具有潜在的致癌性,但它们中的大多数与系统性风湿病患者的大多数恶性肿瘤风险增加无关。