Malignancies in patients with psoriasis during and after biological therapy: A single-center experience

IF 2.9 3区 医学 Q2 DERMATOLOGY Journal of Dermatology Pub Date : 2024-11-16 DOI:10.1111/1346-8138.17554
Hiroyuki Sakai, Masako Minami-Hori, Shiro Kuwahara
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Abstract

Over a 14-year period from 2010 to 2023, we treated 86 psoriasis patients with various biological agents at Asahikawa City Hospital, and 12 malignancies occurred in 11 of the patients. The numbers of malignancies by organ were as follows: four urogenital, three hematological, two gastrointestinal, one breast, one thyroid, and one lung. In two patients without cancer-related symptoms, elevated serum Krebs von den Lungen-6 levels led to the detection of intrahepatic cholangiocarcinoma or thyroid cancer, and they did not have interstitial lung disease. Dermatologists should be aware of the increased incidence of malignancy in patients with psoriasis requiring treatment with biologics.

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银屑病患者在接受生物治疗期间和之后发生恶性肿瘤:单中心经验。
从 2010 年到 2023 年的 14 年间,旭川市立医院使用各种生物制剂治疗了 86 名银屑病患者,其中 11 名患者发生了 12 例恶性肿瘤。恶性肿瘤的器官分布如下:泌尿生殖器官 4 例、血液系统 3 例、胃肠道 2 例、乳腺 1 例、甲状腺 1 例、肺 1 例。在两名没有癌症相关症状的患者中,血清克雷布斯-冯登肺素-6 水平的升高导致发现了肝内胆管癌或甲状腺癌,但他们并没有间质性肺病。皮肤科医生应该意识到,需要使用生物制剂治疗的银屑病患者的恶性肿瘤发病率会增加。
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来源期刊
Journal of Dermatology
Journal of Dermatology 医学-皮肤病学
CiteScore
4.60
自引率
9.70%
发文量
368
审稿时长
4-8 weeks
期刊介绍: The Journal of Dermatology is the official peer-reviewed publication of the Japanese Dermatological Association and the Asian Dermatological Association. The journal aims to provide a forum for the exchange of information about new and significant research in dermatology and to promote the discipline of dermatology in Japan and throughout the world. Research articles are supplemented by reviews, theoretical articles, special features, commentaries, book reviews and proceedings of workshops and conferences. Preliminary or short reports and letters to the editor of two printed pages or less will be published as soon as possible. Papers in all fields of dermatology will be considered.
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