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某些肿瘤性疾病相关获得性血管性水肿。

Acquired Angioedema in Selected Neoplastic Diseases.

机构信息

Clinical Department of Internal Diseases, Dermatology and Allergology, Medical University of Silesia, 40-055 Katowice, Poland.

出版信息

Medicina (Kaunas). 2023 Mar 24;59(4):644. doi: 10.3390/medicina59040644.

Abstract

. Acquired angioedema is a relatively common revelation accompanying some diseases such as autoimmune or cancer. The study aimed to assess the incidence of one subtype of angioedema-C1-INH-AAE (acquired angioedema with C1 inhibitor deficiency). . The study was retrospective and based on 1 312 patients with a final diagnosis of breast cancer, colorectal cancer, or lung cancer: 723 women and 589 men with a mean age of 58.2 ± 13.5 years. The cancer diagnosis according to the ICD (International Classification of Diseases)-10 code, medical history including TNM (Tumour, Node, Metastasis) staging, histopathology, and assessment of the occurrence of C1-INH-AAE angioedema were analysed. . C1-INH-AAE occurred more often in patients with cancer than in the control group, as follows: 327 (29%) vs. 53 (6%) for < 0.05. C1-INH-AAEs were observed most often in the group of patients diagnosed with breast cancer compared to colorectal and lung groups: 197 (37%) vs. 108 (26%) vs. 22 (16%) ( < 0.05). A higher incidence of C1-INH-AAE was observed in the early stages of breast cancer. However, there was no relationship between the occurrence of C1-INH-AAE and the BRCA1 (Breast Cancer gene 1)/BRCA2 (Breast Cancer gene 2) mutation or histopathological types of breast cancer. . Angioedema type C1-INH-AAE occurs more often in patients with selected neoplastic diseases, especially in the early stages of breast cancer.

摘要

获得性血管性水肿是一种相对常见的疾病表现,常伴随自身免疫性疾病或癌症等疾病。本研究旨在评估 C1 抑制剂缺乏性获得性血管性水肿(C1-INH-AAE)这一亚型的发病率。

本研究为回顾性研究,纳入了最终诊断为乳腺癌、结直肠癌或肺癌的 1312 例患者:723 名女性和 589 名男性,平均年龄为 58.2±13.5 岁。根据国际疾病分类(ICD)-10 编码诊断癌症,分析了包括 TNM(肿瘤、淋巴结、转移)分期、组织病理学和 C1-INH-AAE 血管性水肿发生情况在内的病史。

与对照组相比,癌症患者中 C1-INH-AAE 的发生率更高,分别为 327 例(29%)和 53 例(6%),<0.05。与结直肠癌和肺癌组相比,在诊断为乳腺癌的患者中更常观察到 C1-INH-AAE:197 例(37%)、108 例(26%)和 22 例(16%),<0.05。在乳腺癌的早期阶段,C1-INH-AAE 的发生率更高。然而,C1-INH-AAE 的发生与 BRCA1(乳腺癌基因 1)/BRCA2(乳腺癌基因 2)突变或乳腺癌的组织病理学类型之间没有关系。

C1-INH-AAE 型血管性水肿更常发生于某些肿瘤性疾病患者,尤其是在乳腺癌的早期阶段。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1373/10145230/c9352e2b97e8/medicina-59-00644-g001.jpg

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