[A retrospective case-control study of immunoglobulin G4-related disease combined with malignancy]

Zhonghua Nei Ke Za Zhi. 2016 Nov 1;55(11):869-871. doi: 10.3760/cma.j.issn.0578-1426.2016.11.011.
[Article in Chinese]

Abstract

IgG4-related disease (IgG4-RD) has been proved to be associated with malignancy.The incidence and risk factors of malignancy development in IgG4-RD were not clear. Nine IgG4-RD patients with malignancies and 27 IgG4-RD control cases were analyzed for risk factors and clinical features. The incidence of malignancy in IgG4-RD was 3.3%, higher than age-controlled general population. Smoking history was significantly more common in patients with malignancies than in the control group (9/9 vs 16/27, P<0.05). A total of 6/9 malignancies occurred within the first year after the diagnosis of IgG4-RD. Colorectal, biliary and thyroid cancers were the leading types. Smoking history is a risk factor for IgG4-RD associated malignancy. Careful vigilance to monitor malignancy needs to be paid during follow-up.

MeSH terms

  • Autoimmune Diseases / complications*
  • Autoimmune Diseases / diagnosis*
  • Autoimmune Diseases / epidemiology
  • Case-Control Studies
  • Female
  • Humans
  • Immunoglobulin G / biosynthesis*
  • Incidence
  • Male
  • Neoplasms / diagnosis
  • Neoplasms / epidemiology*
  • Neoplasms / pathology
  • Retrospective Studies

Substances

  • Immunoglobulin G