皮肌炎合并乳腺惡性腫瘤(附3例報道及文獻復習)_《中國普外基礎與臨床雜志》

作者：

宋英杰 , 樊濤 , 吳云飛 , 金鋒 , 王超奇

中國醫科大學附屬第一醫院乳腺外科(沈陽 110001);

關鍵詞：

皮肌炎乳腺惡性腫瘤診斷治療

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目的探討皮肌炎合并乳腺惡性腫瘤的臨床特征、診治及預后情況。
方法回顧性分析我科自2008年以來收治的3例皮肌炎合并乳腺惡性腫瘤患者的臨床資料,就兩者關系結合文獻進行分析。
結果 3例皮肌炎合并乳腺惡性腫瘤患者中2例行乳腺癌改良根治術,病理報告為浸潤性導管癌(淋巴結14/21枚轉移)和原位癌(淋巴結0/17枚轉移,伴4枚癌結節),因術后不能耐受靜脈化療,予內分泌治療。1例行乳房腫瘤切除術及腋窩淋巴結活檢術,2個月后因肺間質病死亡。
結論女性皮肌炎患者易伴發乳腺惡性腫瘤且預后差,對明確診斷為皮肌炎的女性患者有必要進行乳腺惡性腫瘤的篩選。

引用本文： 宋英杰,樊濤,吳云飛,金鋒,王超奇. 皮肌炎合并乳腺惡性腫瘤(附3例報道及文獻復習). 中國普外基礎與臨床雜志, 2010, 17(3): 281-282. doi: 復制

1.	Fardet L, Dupuy A, Gain M, et al. Factors associated with underlying malignancy in a retrospective cohort of 121 patients with dermatomyositis [J]. Medicine (Baltimore), 2009; 88(2): 9197.
2.	Petersen B, Bygum A. Dermatomyositis as a marker of lung cancer [J]. Ugeskr Laeger, 2009; 171(18): 15141515.
3.	Gadalla SM, Amr S, Langenberg P, et al. Breast cancer risk in elderly women with systemic autoimmune rheumatic diseases: a populationbased casecontrol study [J]. Br J Cancer, 2009; 100(5): 817821.
4.	Orphanos G, Ardavanis A, Charalambous P, et al. Systemic sclerosis associated with rectal cancer. Case report and a brief review of the literature [J]. In Vivo, 2008; 22(6): 825829.
5.	Kim HI, Chung SH, Hwang JE, et al. Dermatomyositis associated with cancer of unknown primary site [J]. J Korean Med Sci, 2007; 22 Suppl: S174S177.
6.	Osako T, Ito Y, Morimatsu A, et al. Flareup of dermatomyositis along with recurrence of breast cancer [J]. Breast J, 2007; 13(2): 200202.
7.	Yoshinaga A, Hayashi T, Ishii N, et al. Successful cure of dermatomyositis after treatment of nonseminomatous testicular cancer [J]. Int J Urol, 2005; 12(6): 593595.
8.	Nagashima T, Onishi S, Kamata Y, et al. Dermatomyositis associated with thyroid cancer: a paraneoplastic syndrome? [J]. Rheumatol Int, 2009; 29(10): 12611262.
9.	顧有守. 皮肌炎診斷和治療進展 [J]. 臨床皮膚科雜志,2006; 35(6): 407409.
10.	András C, Ponyi A, Constantin T. Dermatomyositis and polymyositis associated with malignancy: a 21year retrospective study [J]. J Rheumatol, 2008; 35(3): 438444.
11.	Ponyi A, Constantin T, Garami M, et al. Cancerassociated myositis: clinical features and prognostic signs [J]. Ann N Y Acad Sci, 2005; 1051: 6471.
12.	徐文俊, 方木平, 李惠. 皮肌炎多發性肌炎合并惡性腫瘤21例高危因素分析 [J].中國皮膚性病學雜志, 2008; 22(3): 151152.
13.	Bronner IM, van der Meulen MF, de Visser M, et al. Longterm outcome in polymyositis and dermatomyositis [J]. Ann Rheum Dis, 2006; 65(11): 14561461.
14.	呂香花, 張優拉. 皮肌炎伴發惡性腫瘤2例 [J]. 現代中西醫結合雜志, 2006; 15(16): 26912692.
15.	Chen YJ, Wu CY, Shen JL. Predicting factors of malignancy in dermatomyositis and polymyositis: a casecontrol study [J]. Br J Dermatol, 2001; 144(4): 825831.
16.	Pectasides D, Koumpou M, Gaglia A, et al. Dermatomyositis associated with breast cancer [J]. Anticancer Res, 2006; 26(3B): 23292331.

1. Fardet L, Dupuy A, Gain M, et al. Factors associated with underlying malignancy in a retrospective cohort of 121 patients with dermatomyositis [J]. Medicine (Baltimore), 2009; 88(2): 9197.
2. Petersen B, Bygum A. Dermatomyositis as a marker of lung cancer [J]. Ugeskr Laeger, 2009; 171(18): 15141515.
3. Gadalla SM, Amr S, Langenberg P, et al. Breast cancer risk in elderly women with systemic autoimmune rheumatic diseases: a populationbased casecontrol study [J]. Br J Cancer, 2009; 100(5): 817821.
4. Orphanos G, Ardavanis A, Charalambous P, et al. Systemic sclerosis associated with rectal cancer. Case report and a brief review of the literature [J]. In Vivo, 2008; 22(6): 825829.
5. Kim HI, Chung SH, Hwang JE, et al. Dermatomyositis associated with cancer of unknown primary site [J]. J Korean Med Sci, 2007; 22 Suppl: S174S177.
6. Osako T, Ito Y, Morimatsu A, et al. Flareup of dermatomyositis along with recurrence of breast cancer [J]. Breast J, 2007; 13(2): 200202.
7. Yoshinaga A, Hayashi T, Ishii N, et al. Successful cure of dermatomyositis after treatment of nonseminomatous testicular cancer [J]. Int J Urol, 2005; 12(6): 593595.
8. Nagashima T, Onishi S, Kamata Y, et al. Dermatomyositis associated with thyroid cancer: a paraneoplastic syndrome? [J]. Rheumatol Int, 2009; 29(10): 12611262.
9. 顧有守. 皮肌炎診斷和治療進展 [J]. 臨床皮膚科雜志,2006; 35(6): 407409.
10. András C, Ponyi A, Constantin T. Dermatomyositis and polymyositis associated with malignancy: a 21year retrospective study [J]. J Rheumatol, 2008; 35(3): 438444.
11. Ponyi A, Constantin T, Garami M, et al. Cancerassociated myositis: clinical features and prognostic signs [J]. Ann N Y Acad Sci, 2005; 1051: 6471.
12. 徐文俊, 方木平, 李惠. 皮肌炎多發性肌炎合并惡性腫瘤21例高危因素分析 [J].中國皮膚性病學雜志, 2008; 22(3): 151152.
13. Bronner IM, van der Meulen MF, de Visser M, et al. Longterm outcome in polymyositis and dermatomyositis [J]. Ann Rheum Dis, 2006; 65(11): 14561461.
14. 呂香花, 張優拉. 皮肌炎伴發惡性腫瘤2例 [J]. 現代中西醫結合雜志, 2006; 15(16): 26912692.
15. Chen YJ, Wu CY, Shen JL. Predicting factors of malignancy in dermatomyositis and polymyositis: a casecontrol study [J]. Br J Dermatol, 2001; 144(4): 825831.
16. Pectasides D, Koumpou M, Gaglia A, et al. Dermatomyositis associated with breast cancer [J]. Anticancer Res, 2006; 26(3B): 23292331.

《中國普外基礎與臨床雜志》

皮肌炎合并乳腺惡性腫瘤(附3例報道及文獻復習)

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

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《中國普外基礎與臨床雜志》

皮肌炎合并乳腺惡性腫瘤(附3例報道及文獻復習)

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

摘要全文圖表視頻參考文獻施引文獻補充材料