Triboulet J P, Piette F, Bergoend H, Lagache G
Sem Hop. 1983 Jan 27;59(4):255-60.
The authors report the case of a 56 year-old woman presenting with dermatomyositis revealing a cancer of the colon at the ganglial dissemination stage. Exeresis led to the regression of the dermatomyositis and allowed an attenuation of the steroid therapy. The muscular and cutaneous signs reappeared within six months, evidencing a metastatic hepatic dissemination. Death came within six months of the appearance of the dermatomyositis. The authors review the literature concerning dermatomyositis associated with cancers of the digestive tract in general, and of the colon in particular. This association is found in about 6 to 35% of cases of dermatomyositis, which is the most common paraneoplastic skin associated with cancers of the colon.
作者报告了一例56岁女性患者，该患者患有皮肌炎，在神经节播散期发现患有结肠癌。手术切除导致皮肌炎消退，并减少了类固醇治疗。肌肉和皮肤症状在六个月内再次出现，表明出现了肝转移播散。皮肌炎出现后六个月内患者死亡。作者回顾了有关皮肌炎与一般消化道癌症尤其是结肠癌相关的文献。这种关联在约6%至35%的皮肌炎病例中被发现，皮肌炎是与结肠癌相关的最常见副肿瘤性皮肤病。
