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与恶性肿瘤相关的肌肉骨骼综合征

Musculoskeletal syndromes associated with malignancies.

作者信息

Seda H, Alarcón G S

机构信息

Pontifical Catholic University of Rio de Janeiro, Brazil.

出版信息

Curr Opin Rheumatol. 1995 Jan;7(1):48-53.

PMID:7718423
Abstract

Literature on the association of malignancies with various rheumatic disorders published over the past year is summarized in this review. The possible roles of methotrexate treatment in predisposing to the development of lung cancer and Felty's syndrome in predisposing to non-Hodgkin's lymphoma in rheumatoid arthritis patients are discussed. The increased occurrence of monoclonal gammopathies and non-Hodgkin's lymphoma in patients with Sjögren's syndrome is reported. The possible increased frequency of malignancies among patients with systemic lupus erythematosus (SLE), scleroderma, and polymositis-dermatomyositis is revisited; of interest, the overlapping clinical features of non-Hodgkin's lymphoma and SLE are presented, as well as the increased occurrence of ovarian cancer in patients (especially older women) with dermatomyositis. The proceedings of the first International Workshop on Hypertrophic Osteoarthropathy, as well as the association of this syndrome with nasopharyngeal carcinoma in the childhood years, are presented. Finally, postchemotherapy and post-bacille Calmette-Guérin rheumatism are described.

摘要

本综述总结了过去一年发表的关于恶性肿瘤与各种风湿性疾病关联的文献。讨论了甲氨蝶呤治疗在诱发肺癌中的可能作用,以及费尔蒂综合征在类风湿关节炎患者中诱发非霍奇金淋巴瘤的可能作用。报告了干燥综合征患者单克隆丙种球蛋白病和非霍奇金淋巴瘤发生率增加的情况。重新审视了系统性红斑狼疮(SLE)、硬皮病和多发性肌炎-皮肌炎患者中恶性肿瘤可能增加的频率;有趣的是,介绍了非霍奇金淋巴瘤和SLE的重叠临床特征,以及皮肌炎患者(尤其是老年女性)卵巢癌发生率增加的情况。介绍了第一届肥大性骨关节病国际研讨会的会议记录,以及该综合征在儿童期与鼻咽癌的关联。最后,描述了化疗后和卡介苗接种后风湿症。

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