[A coexistence of the Dupuytren's disease and malignant neoplasms: a review].

Andrzej Zyluk, Tadeusz Dibniak
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Abstract

Dupuytren's disease is classified as a benign superficial fibromatosis, in which excessive proliferation of myofibroblats and formation of nodules and chords occurs, followed by development of finger contractures. The similarities between Dupuytren's disease and neoplasms were shown at molecular and clinical grounds. The objective of the study was to review of the literature investigating possible relationship between occurrence of Dupuytren's disease and malignancies. Review of the few available papers shows (1) statistically significantly increased malignant neoplasm mortality among men with advanced Dupuytren's disease, comparing to reference population and men with early stage of the disease, (2) statistically significantly increased malignant neoplasm morbidity, mainly related to smoking and alcohol consumption among patients (men and women) operated on for Dupuytren's disease and (3) increased sarcoma of the bone and soft tissue morbidity in patients 5 years after operation for Dupuytren's disease. Some genetical studies show also altered expression of the dehydrogenases ALDH2 and DHDH genes in patients with Dupuytren's disease and with digestive tract malignancies related to alcohol abuse.

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【Dupuytren病与恶性肿瘤共存的研究进展】。
Dupuytren病被归类为一种良性浅表性纤维瘤病,其中肌成纤维细胞过度增殖,形成结节和索,随后发生手指挛缩。Dupuytren病与肿瘤在分子和临床方面有相似之处。本研究的目的是回顾研究Dupuytren病发生与恶性肿瘤之间可能关系的文献。对少数文献的回顾显示:(1)与参考人群和早期Dupuytren病男性患者相比,晚期Dupuytren病男性患者的恶性肿瘤死亡率有统计学显著增加;(2)恶性肿瘤发病率有统计学显著增加;主要与Dupuytren病手术患者(男性和女性)吸烟和饮酒有关;(3)Dupuytren病术后5年患者骨和软组织肉瘤发病率增加。一些遗传学研究还表明,在Dupuytren病和与酒精滥用相关的消化道恶性肿瘤患者中,脱氢酶ALDH2和DHDH基因的表达也发生了改变。
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