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一名使用乌司奴单抗的克罗恩病患者发生汗腺癌:病例报告

Hidradenocarcinoma in a Crohn's patient on ustekinumab: A case report.

作者信息

Alizadeh Madeline, Zisman Erin, Wong Uni

机构信息

Institute for Genome Sciences, University of Maryland School of Medicine, Baltimore, MD, USA.

Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.

出版信息

SAGE Open Med Case Rep. 2024 Jul 26;12:2050313X241254732. doi: 10.1177/2050313X241254732. eCollection 2024.

DOI:10.1177/2050313X241254732
PMID:39071199
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11282559/
Abstract

Hidradenocarcinoma is a locally aggressive malignancy of the sweat glands, most commonly found on the head, neck, and upper body. Although rare, it has been seen in patients with hidradenitis supparativa, who have an increased risk of non-melanoma skin cancers. Ustekinumab, a biologic agent used to treat inflammatory bowel disease, has been associated with development of cancer in some patients. We present a case of a 36-year-old female with hidradenitis supparativa and Crohn's disease who developed hidradenocarcinoma in setting of ustekinumab use, demonstrating the need for further study of the relationship between biologic therapy and malignancy.

摘要

汗腺癌是一种局部侵袭性的汗腺恶性肿瘤,最常见于头部、颈部和上半身。虽然罕见,但在化脓性汗腺炎患者中也有发现,这些患者患非黑素瘤皮肤癌的风险增加。乌司奴单抗是一种用于治疗炎症性肠病的生物制剂,在一些患者中与癌症的发生有关。我们报告一例36岁女性患者,患有化脓性汗腺炎和克罗恩病,在使用乌司奴单抗的情况下发生了汗腺癌,这表明需要进一步研究生物治疗与恶性肿瘤之间的关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d32c/11282559/8ca595a78748/10.1177_2050313X241254732-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d32c/11282559/8ca595a78748/10.1177_2050313X241254732-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d32c/11282559/8ca595a78748/10.1177_2050313X241254732-fig1.jpg

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SAGE Open Med Case Rep. 2024 Jul 26;12:2050313X241254732. doi: 10.1177/2050313X241254732. eCollection 2024.
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本文引用的文献

1
Ustekinumab does not increase risk of new or recurrent cancer in inflammatory bowel disease patients with prior malignancy.乌司奴单抗不会增加先前患有恶性肿瘤的炎症性肠病患者新发或复发癌症的风险。
J Gastroenterol Hepatol. 2022 Jun;37(6):1016-1021. doi: 10.1111/jgh.15806. Epub 2022 Mar 10.
2
Hidradenocarcinoma.汗腺癌
An Bras Dermatol. 2021 Mar-Apr;96(2):251-253. doi: 10.1016/j.abd.2020.03.023. Epub 2021 Feb 5.
3
Assessment of Overall and Specific Cancer Risks in Patients With Hidradenitis Suppurativa.评估化脓性汗腺炎患者的总体和特定癌症风险。
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North American clinical management guidelines for hidradenitis suppurativa: A publication from the United States and Canadian Hidradenitis Suppurativa Foundations: Part II: Topical, intralesional, and systemic medical management.北美化脓性汗腺炎临床管理指南:美国和加拿大化脓性汗腺炎基金会联合发布:第二部分:局部、皮损内和全身医学治疗。
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Association Between Use of Thiopurines or Tumor Necrosis Factor Antagonists Alone or in Combination and Risk of Lymphoma in Patients With Inflammatory Bowel Disease.硫嘌呤类药物或肿瘤坏死因子拮抗剂单独使用或联合使用与炎症性肠病患者淋巴瘤风险之间的关联
JAMA. 2017 Nov 7;318(17):1679-1686. doi: 10.1001/jama.2017.16071.
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Current management approach to hidradenocarcinoma: a comprehensive review of the literature.当前汗腺癌的管理方法:文献综述
Ecancermedicalscience. 2015 Mar 19;9:517. doi: 10.3332/ecancer.2015.517. eCollection 2015.
7
Gastric mucosa-associated lymphoid tissue lymphoma in a patient with severe psoriasis receiving ustekinumab.一名接受乌司奴单抗治疗的重度银屑病患者发生胃黏膜相关淋巴组织淋巴瘤。
Actas Dermosifiliogr. 2015 May;106(4):326-7. doi: 10.1016/j.ad.2014.05.010. Epub 2014 Dec 18.
8
Association between tumor necrosis factor-α antagonists and risk of cancer in patients with inflammatory bowel disease.肿瘤坏死因子-α拮抗剂与炎症性肠病患者癌症风险的相关性。
JAMA. 2014 Jun 18;311(23):2406-13. doi: 10.1001/jama.2014.5613.
9
Multiple myeloma in a patient under ustekinumab--are they related?
Eur J Dermatol. 2013 Jul-Aug;23(4):567-8. doi: 10.1684/ejd.2013.2096.
10
Risk of melanoma and nonmelanoma skin cancer among patients with inflammatory bowel disease.炎症性肠病患者患黑色素瘤和非黑色素瘤皮肤癌的风险。
Gastroenterology. 2012 Aug;143(2):390-399.e1. doi: 10.1053/j.gastro.2012.05.004. Epub 2012 May 11.