Skare Thelma, de Carvalho Jozélio Freire
Department of Rheumatology, Hospital Evangélico Mackenzie, Curitiba, PR, Brazil.
Institute for Health Science, Federal University of Bahia, Salvador, Brazil.
North Clin Istanb. 2025 Jun 19;12(3):378-384. doi: 10.14744/nci.2024.21976. eCollection 2025.
Immunosuppressors and immunomodulators are widely used for the treatment of rheumatic diseases. Among them are the conventional Disease-Modifying Antirheumatic Drugs (DMARDs) such as methotrexate, azathioprine, antimalarials, cyclosporine, etc. These drugs can induce remission or control inflammation, improving patients' outcomes. Nevertheless, there is some concern that these drugs may have a carcinogenic potential, favoring the appearance of tumors. Herein, a narrative review of malignancy risk after using conventional DMARDs is done.
免疫抑制剂和免疫调节剂被广泛用于治疗风湿性疾病。其中包括传统的改善病情抗风湿药(DMARDs),如甲氨蝶呤、硫唑嘌呤、抗疟药、环孢素等。这些药物可以诱导缓解或控制炎症,改善患者的预后。然而,有人担心这些药物可能具有致癌潜力,会增加肿瘤出现的几率。在此,对使用传统DMARDs后的恶性肿瘤风险进行了叙述性综述。