Malignancy in patients with inflammatory myopathy

Author:

Buchbinder Rachelle,Hill Catherine L.

Publisher

Springer Science and Business Media LLC

Subject

Rheumatology

Reference59 articles.

1. Stockton D, Doherty VR, Brewster DH: Risk of cancer in patients with dermatomyositis or polymyositis, and followup implications: a Scottish population-based cohort study. Br J Cancer 2001, 85:41–45. Like earlier population-based cohort studies, this study identified hospitalized patients with dermatomyositis/polymyositis from a national hospital registry, but did not verify diagnosis by chart review. The authors observed an increased risk of malignancy in dermatomyositis (over seven-fold) and polymyositis (about two-fold).

2. Buchbinder R, Forbes A, Hall S, et al.: Incidence of malignant disease in biopsy-proven inflammatory myopathy: a populationbased cohort study. Ann Intern Med 2001, 134:1087–1095. This study identified patients with biopsy-proven myositis from a centralized muscle pathology service thereby ensuring the legitimacy of the diagnosis and reducing the risk of misclassification of polymyositis and dermatomyositis. It verified that the risk of malignancy is increased in dermatomyositis (more than six-fold) and polymyositis (two-fold), especially in the first 3 years after myositis diagnosis. An increased risk of malignant disease in inclusion body myositis (over two-fold) was also observed.

3. Hill CL, Zhang Y, Sigurgeirsson B, et al.: Frequency of specific cancer types in dermatomyositis and polymyositis: a population-based study. Lancet 2001, 357:96–100. This study reported a pooled analysis of previously published Swedish, Danish, and Finnish data revealing an increased relative risk for ovarian, lung, colorectal, stomach, pancreas cancers and non-Hodgkin’s lymphoma in dermatomyositis and lung and bladder cancer and non-Hodgkin’s lymphoma in polymyositis.

4. Chen YJ, Wu CY, Shen JL: Predicting factors of malignancy in dermatomyositis and polymyositis: a case-control study. Br J Dermatol 2001, 144:825–831. Factors found to be associated with malignancy in this study were older age at onset of myositis (> 45 years) and with men. Interstitial lung disease was associated with lower risk. These findings need to be interpreted cautiously as it is unclear whether the duration of followup and surveillance for cancer was similar in both groups. Nasopharyngeal carcinoma was the most common cancer associated with dermatomyositis in this study from Taiwan.

5. Villa AR, Kraus A, Jimenez-Corona A: Malignant neoplasms in autoimmune rheumatic diseases: examination of the risk of developing a malignancy among five rheumatic diseased in one institution. Clin Rheumatol 2000, 6:176–183.

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