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一名长期患有系统性红斑狼疮的患者出现双发性异时性原发性恶性肿瘤(慢性粒细胞白血病和舌癌)的罕见病例:病例报告及文献综述

A Rare Case of Dual Metachronous Primary Malignancies, Chronic Myeloid Leukemia, and Tongue Carcinoma in a Patient With Long-Standing Systemic Lupus Erythematosus: A Case Report and Review of Literature.

作者信息

BalajiSubramanian Sitaraman, Al-Hajri Thuraya, Satyapal Namrata, Al-Bulushi Mahdiya, Al Sheibani Salma Mohammed, Al Kalbani Faisal Khamis Mubarak, Al-Saadi Maimuna, Al Musalhi Muhanna Nasser, Al Wahshi Humaid A

机构信息

Department of Radiation Oncology, The Royal Hospital, Muscat, OMN.

Department of Hematology, The Royal Hospital, Muscat, OMN.

出版信息

Cureus. 2024 Mar 21;16(3):e56648. doi: 10.7759/cureus.56648. eCollection 2024 Mar.

DOI:10.7759/cureus.56648
PMID:38646281
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11032168/
Abstract

Patients with long-standing autoimmune diseases like systemic lupus erythematosus (SLE) are at a higher risk of developing hematological malignancies. However, chronic myeloid leukemia (CML) has rarely been reported in patients with SLE. Advancements in medical diagnostics and treatment have led to the life expectancy of SLE and CML patients moving closer to that of the general population, and it is not uncommon to encounter more than one malignancy in a cancer survivor. Although squamous cell carcinoma (SCC) of the skin has been reported in CML patients, mucosal SCC of the head and neck has rarely only been reported in CML survivors. The objective of this case report is to share our experience in treating a patient with dual metachronous primary malignancies, CML, and tongue carcinoma, along with long-standing SLE, managed by a multidisciplinary team.

摘要

患有系统性红斑狼疮(SLE)等长期自身免疫性疾病的患者发生血液系统恶性肿瘤的风险更高。然而,SLE患者中很少有慢性髓系白血病(CML)的报道。医学诊断和治疗的进步使SLE和CML患者的预期寿命更接近普通人群,癌症幸存者中出现不止一种恶性肿瘤的情况并不罕见。虽然CML患者中已有皮肤鳞状细胞癌(SCC)的报道,但头颈部黏膜SCC仅在CML幸存者中很少有报道。本病例报告的目的是分享我们治疗一名患有双时相原发性恶性肿瘤(CML和舌癌)以及长期SLE的患者的经验,该患者由多学科团队管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bea/11032168/20bb6081ce79/cureus-0016-00000056648-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bea/11032168/eb510abddb9c/cureus-0016-00000056648-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bea/11032168/fd62fe3e6513/cureus-0016-00000056648-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bea/11032168/20bb6081ce79/cureus-0016-00000056648-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bea/11032168/eb510abddb9c/cureus-0016-00000056648-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bea/11032168/fd62fe3e6513/cureus-0016-00000056648-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bea/11032168/20bb6081ce79/cureus-0016-00000056648-i03.jpg

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A Rare Case of Dual Metachronous Primary Malignancies, Chronic Myeloid Leukemia, and Tongue Carcinoma in a Patient With Long-Standing Systemic Lupus Erythematosus: A Case Report and Review of Literature.一名长期患有系统性红斑狼疮的患者出现双发性异时性原发性恶性肿瘤(慢性粒细胞白血病和舌癌)的罕见病例:病例报告及文献综述
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本文引用的文献

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Hematological malignancies in systemic lupus erythematosus: clinical characteristics, risk factors, and prognosis-a case-control study.系统性红斑狼疮中的血液系统恶性肿瘤:临床特征、危险因素和预后——一项病例对照研究。
Arthritis Res Ther. 2022 Jan 3;24(1):5. doi: 10.1186/s13075-021-02692-8.
2
European LeukemiaNet 2020 recommendations for treating chronic myeloid leukemia.欧洲白血病网络 2020 年治疗慢性髓性白血病的建议。
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Risk of Head and Neck Cancer in Patients With Prior Hematologic Malignant Tumors.
头颈部癌症风险与既往血液系统恶性肿瘤。
JAMA Otolaryngol Head Neck Surg. 2019 Dec 1;145(12):1121-1127. doi: 10.1001/jamaoto.2019.1012.
4
Assessment of imatinib as first-line treatment of chronic myeloid leukemia: 10-year survival results of the randomized CML study IV and impact of non-CML determinants.伊马替尼作为慢性粒细胞白血病一线治疗的评估:随机CML研究IV的10年生存结果及非CML决定因素的影响
Leukemia. 2017 Nov;31(11):2398-2406. doi: 10.1038/leu.2017.253. Epub 2017 Aug 14.
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Sparing dysphagia/aspiration related structures using novel hybrid volumetric modulated arc therapy.使用新型混合容积调强弧形治疗技术保护吞咽困难/误吸相关结构。
Phys Med. 2017 Jul;39:80-87. doi: 10.1016/j.ejmp.2017.05.073. Epub 2017 Jun 12.
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Association of Therapy for Autoimmune Disease With Myelodysplastic Syndromes and Acute Myeloid Leukemia.自身免疫性疾病治疗与骨髓增生异常综合征和急性髓系白血病的关联。
JAMA Oncol. 2017 Jul 1;3(7):936-943. doi: 10.1001/jamaoncol.2016.6435.
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Increased prevalence of prior malignancies and autoimmune diseases in patients diagnosed with chronic myeloid leukemia.诊断为慢性髓性白血病的患者中既往恶性肿瘤和自身免疫性疾病的患病率增加。
Leukemia. 2016 Jul;30(7):1562-7. doi: 10.1038/leu.2016.59. Epub 2016 Mar 8.
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Radiotherapy in patients with connective tissue diseases.结缔组织病患者的放射治疗。
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