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补骨脂素及紫外线A治疗患者的皮肤肿瘤风险。

Risk of skin tumors in psoralen- and ultraviolet A-treated patients.

作者信息

Henseler T, Christophers E

出版信息

Natl Cancer Inst Monogr. 1984 Dec;66:217-9.

PMID:6531033
Abstract

From 1973 to 1981, the clinical data of 1,136 patients with psoriasis and another 1,210 with various skin tumors were accessioned with the aid of computerized data files. Skin tumors and psoriasis occurred in 48 patients. After psoralen plus 320-400 nm UV (PUVA) therapy for psoriasis was introduced in 1976, 381 patients with this disease were treated. Follow-up data revealed no change in the tumor incidence rate after this treatment began. Age-related calculations of the relative probabilities for the presence of skin cancer in patients with psoriasis after PUVA revealed a grossly normal pattern (which appeared to be unaffected by PUVA). We observed a skin tumor in 2 patients 5 years after PUVA therapy.

摘要

1973年至1981年期间,借助计算机化数据文件收集了1136例银屑病患者以及另外1210例患有各种皮肤肿瘤患者的临床数据。48例患者同时患有皮肤肿瘤和银屑病。1976年引入补骨脂素加320 - 400纳米紫外线(PUVA)治疗银屑病后,对381例该疾病患者进行了治疗。随访数据显示,开始这种治疗后肿瘤发病率没有变化。对接受PUVA治疗后的银屑病患者患皮肤癌的相对概率进行与年龄相关的计算,结果显示总体模式正常(似乎不受PUVA影响)。在PUVA治疗5年后,我们观察到2例患者出现了皮肤肿瘤。

相似文献

1
Risk of skin tumors in psoralen- and ultraviolet A-treated patients.补骨脂素及紫外线A治疗患者的皮肤肿瘤风险。
Natl Cancer Inst Monogr. 1984 Dec;66:217-9.
2
Carcinogenic risk of psoralen plus ultraviolet radiation therapy: evidence in humans.补骨脂素加紫外线辐射疗法的致癌风险:人体证据
Natl Cancer Inst Monogr. 1984 Dec;66:211-6.
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Malignant melanoma in patients treated for psoriasis with methoxsalen (psoralen) and ultraviolet A radiation (PUVA). The PUVA Follow-Up Study.接受甲氧沙林(补骨脂素)和紫外线A辐射(PUVA)治疗银屑病的患者发生恶性黑色素瘤。PUVA随访研究。
N Engl J Med. 1997 Apr 10;336(15):1041-5. doi: 10.1056/NEJM199704103361501.
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Long-term safety of trioxsalen bath PUVA treatment: an 8-year follow-up of 149 psoriasis patients.补骨脂素浴联合光化学疗法(PUVA)治疗的长期安全性:149例银屑病患者的8年随访
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PUVA treatment and skin cancer: A follow-up study.补骨脂素加紫外线A光疗法与皮肤癌:一项随访研究。
Acta Derm Venereol. 1981;61(2):141-5.
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Comparison of phototherapy (UV-B) and photochemotherapy (PUVA) for clearing and maintenance therapy of psoriasis.光疗(UV-B)与光化学疗法(PUVA)治疗银屑病清除期及维持期的疗效比较
Arch Dermatol. 1984 Jan;120(1):52-7.
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The effectiveness of PUVA treatment in severe psoriasis is significantly increased by additional UV 308-nm excimer laser sessions.通过额外的308纳米准分子激光照射疗程,补骨脂素加紫外线A(PUVA)疗法对重度银屑病的疗效显著提高。
Eur J Dermatol. 2008 Jan-Feb;18(1):55-60. doi: 10.1684/ejd.2008.0311. Epub 2007 Dec 18.
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Skin carcinomas and treatment with photochemotherapy (PUVA).皮肤癌与光化学疗法(补骨脂素加紫外线A)治疗
Acta Derm Venereol. 1983;63(3):223-6.
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Cutaneous squamous-cell carcinoma in patients treated with PUVA.接受补骨脂素加长波紫外线(PUVA)治疗的患者的皮肤鳞状细胞癌
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[Photochemotherapy--psoralen + UV-A (PUVA)--increased risk of cancer?].[光化学疗法——补骨脂素加紫外线A(PUVA)——会增加患癌风险吗?]
Tidsskr Nor Laegeforen. 1993 Jan 20;113(2):200-1.

引用本文的文献

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Risk of melanoma with psoralen/ultraviolet A therapy for psoriasis. Do the known risks now outweigh the benefits?补骨脂素/紫外线A疗法治疗银屑病时患黑色素瘤的风险。目前已知的风险是否已超过益处?
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