Poveda F, González-García J, Picazo M L, Giménez A, Camacho J, Barbado F J, Vázquez-Rodríguez J J
Department of Internal Medicine, La Paz Hospital, Universidad Autónoma, Madrid, Spain.
J Intern Med. 1994 Dec;236(6):679-83. doi: 10.1111/j.1365-2796.1994.tb00862.x.
We report a case of systemic polyarteritis nodosa (PAN) leading to the discovery of an as yet asymptomatic, surgically curable gastric adenocarcinoma. PAN is rarely associated with malignancies and in such cases these are more often malignant haematological diseases than solid neoplasms. The immunopathological findings, the temporal relationship between both conditions, and the spontaneous resolution of vasculitis after tumour removal suggest a paraneoplastic origin of the systemic angitis.
我们报告了一例结节性多动脉炎（PAN）导致发现一例尚无症状、可通过手术治愈的胃腺癌。PAN很少与恶性肿瘤相关，在这类病例中，更多的是恶性血液病而非实体肿瘤。免疫病理学发现、两种疾病之间的时间关系以及肿瘤切除后血管炎的自发缓解提示全身性血管炎是副肿瘤性起源。
