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A Case of Recurrent Gastric Cancer Associated with Dermatomyositis

一位胃癌復發的病人與其皮肌炎的相關性

摘要


惡性腫瘤及發炎性肌病變之間的關係仍然不完全清楚。發炎性肌病變患者罹患癌症的風險會增加,而且癌症死亡率也會增高。罹患癌症的時間可以在發炎性肌病變的診斷之前,同時或之後。在這裡我們報告一位胃癌病人手術後無復發情形,但在皮肌炎診斷兩年後被診斷為肝臟多處轉移。建議發炎性肌病變患者需要多次篩檢,包括詳細病史,身體檢查和實驗室測驗,去發現潛在性癌症。

關鍵字

皮肌炎 發炎性肌病變 胃癌

並列摘要


The precise links between malignancy and inflammatory myopathy remain incompletely understood. The risk of cancer is increased in patients with inflammatory myopathies. In patients with dermatomyositis there is also a higher rate of mortality from cancer. Cancer can be diagnosed before, simultaneously with, or after the diagnosis of inflammatory myopathy. Herein, we report the case of a patient with recurrent gastric cancer associated with dermatomyositis, in which multiple liver metastases were diagnosed two years after the diagnosis of dermatomyositis. Repeated cancer screening in patients with inflammatory myopathy is recommended. A thorough medical history, physical examination, and laboratory testing are often essential to making the diagnosis of undetected cancer.

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