关键词: Anti-RNA polymerase III Anticorps anti-ARN polymérase III Cancer Scleroderma Sclérodermie

Mesh : Antineoplastic Combined Chemotherapy Protocols / therapeutic use Autoantibodies / immunology Autoantigens / immunology Carcinoma / drug therapy etiology radiotherapy secondary Carcinoma, Squamous Cell / etiology surgery therapy Chemoradiotherapy Cisplatin / administration & dosage Combined Modality Therapy Docetaxel Fluorouracil / administration & dosage Humans Lung Neoplasms / drug therapy radiotherapy secondary Male Middle Aged Nasopharyngeal Neoplasms / drug therapy etiology immunology radiotherapy RNA Polymerase III / immunology Radiotherapy, Adjuvant Raynaud Disease / etiology Remission Induction Scleroderma, Systemic / complications diagnosis immunology Taxoids / administration & dosage Tonsillectomy Young Adult

来  源:   DOI:10.1016/j.annder.2017.08.005   PDF(Sci-hub)

Abstract:
BACKGROUND: The incidence of cancer is increased in patients with systemic sclerosis (SSc). Further, recent studies have also shown that the presence of anti-RNA polymerase III antibodies is associated with a higher incidence of cancer in this population.
METHODS: Herein we present the cases of two men aged 56 and 23 years presenting SSc without anti-Scl70 or anti-centromere antibodies but with anti-RNA polymerase III antibodies. Clinical symptoms led us to prescribe more laboratory exams and both patients were diagnosed with cancer of the nasopharyngeal area.
CONCLUSIONS: Anti-RNA polymerase III antibodies are useful for SSc diagnosis in patients without anti-centromere or anti-Scl70 antibodies. Their presence must lead physicians to screen for associated cancer, even in the absence of clinical signs.
摘要:
背景:系统性硬化症(SSc)患者的癌症发病率增加。Further,最近的研究还表明,在该人群中,抗RNA聚合酶III抗体的存在与较高的癌症发病率相关.
方法:在此,我们介绍了两名年龄分别为56岁和23岁的男性,他们的SSc没有抗Scl70或抗着丝粒抗体,但有抗RNA聚合酶III抗体。临床症状导致我们开了更多的实验室检查,两名患者都被诊断为鼻咽癌。
结论:在没有抗着丝粒或抗Scl70抗体的患者中,抗RNA聚合酶III抗体可用于SSc诊断。他们的存在必须引导医生筛查相关癌症,即使没有临床症状。
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