Haematological Malignancies in Systemic Sclerosis Patients: Case Reports and Review of the World Literature

Background. The association of systemic sclerosis (SSc) and haematological cancers was reported in a large number of case reports and cohort studies, describing SSc patients with highly heterogeneous clinical pictures. Objective. We reviewed the literature to better describe SSc patients with haemat...

Full description

Saved in:
Bibliographic Details
Main Authors: M. Colaci, D. Giuggioli, C. Vacchi, C. Ferri
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Rheumatology
Online Access:http://dx.doi.org/10.1155/2017/6230138
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850159623605059584
author M. Colaci
D. Giuggioli
C. Vacchi
C. Ferri
author_facet M. Colaci
D. Giuggioli
C. Vacchi
C. Ferri
author_sort M. Colaci
collection DOAJ
description Background. The association of systemic sclerosis (SSc) and haematological cancers was reported in a large number of case reports and cohort studies, describing SSc patients with highly heterogeneous clinical pictures. Objective. We reviewed the literature to better describe SSc patients with haematological malignancies. Methods. SSc cases complicated by haematological malignancies described in the world literature were collected; other 2 cases referred to our centre were reported. Results. One hundred-thirty SSc subjects were collected from 1954 up to date. The mean age of patients at cancer diagnosis was 56.1 ± 16.7 years; 72% of patients were females. In 60% of cases, the diagnosis of haematological malignancy was described within 5 years of SSc diagnosis. In 7.8% of cases, coexistence of Sjögren’s syndrome or other autoimmune disorders was cited. Sixty-six cases with lymphoma (in the majority of cases B-cell neoplasms), 28 with leukaemia (chronic lymphocytic form in 9), 14 with multiple myeloma plus one solitary IgM plasmocytoma, and 16 with myeloproliferative disorders were found. No specific SSc subsets seem to be related to haematological malignancies. Conclusions. We remarked the importance of clinical work-up in SSc, in order to early diagnose and treat eventual occult haematological malignancies, especially during the first years of the disease.
format Article
id doaj-art-b33ad4688ec94bbabd2e413e8b978cd0
institution OA Journals
issn 2090-6889
2090-6897
language English
publishDate 2017-01-01
publisher Wiley
record_format Article
series Case Reports in Rheumatology
spelling doaj-art-b33ad4688ec94bbabd2e413e8b978cd02025-08-20T02:23:27ZengWileyCase Reports in Rheumatology2090-68892090-68972017-01-01201710.1155/2017/62301386230138Haematological Malignancies in Systemic Sclerosis Patients: Case Reports and Review of the World LiteratureM. Colaci0D. Giuggioli1C. Vacchi2C. Ferri3Rheumatology Unit, Azienda Ospedaliero-Universitaria Policlinico di Modena, University of Modena and Reggio Emilia, Modena, ItalyRheumatology Unit, Azienda Ospedaliero-Universitaria Policlinico di Modena, University of Modena and Reggio Emilia, Modena, ItalyRheumatology Unit, Azienda Ospedaliero-Universitaria Policlinico di Modena, University of Modena and Reggio Emilia, Modena, ItalyRheumatology Unit, Azienda Ospedaliero-Universitaria Policlinico di Modena, University of Modena and Reggio Emilia, Modena, ItalyBackground. The association of systemic sclerosis (SSc) and haematological cancers was reported in a large number of case reports and cohort studies, describing SSc patients with highly heterogeneous clinical pictures. Objective. We reviewed the literature to better describe SSc patients with haematological malignancies. Methods. SSc cases complicated by haematological malignancies described in the world literature were collected; other 2 cases referred to our centre were reported. Results. One hundred-thirty SSc subjects were collected from 1954 up to date. The mean age of patients at cancer diagnosis was 56.1 ± 16.7 years; 72% of patients were females. In 60% of cases, the diagnosis of haematological malignancy was described within 5 years of SSc diagnosis. In 7.8% of cases, coexistence of Sjögren’s syndrome or other autoimmune disorders was cited. Sixty-six cases with lymphoma (in the majority of cases B-cell neoplasms), 28 with leukaemia (chronic lymphocytic form in 9), 14 with multiple myeloma plus one solitary IgM plasmocytoma, and 16 with myeloproliferative disorders were found. No specific SSc subsets seem to be related to haematological malignancies. Conclusions. We remarked the importance of clinical work-up in SSc, in order to early diagnose and treat eventual occult haematological malignancies, especially during the first years of the disease.http://dx.doi.org/10.1155/2017/6230138
spellingShingle M. Colaci
D. Giuggioli
C. Vacchi
C. Ferri
Haematological Malignancies in Systemic Sclerosis Patients: Case Reports and Review of the World Literature
Case Reports in Rheumatology
title Haematological Malignancies in Systemic Sclerosis Patients: Case Reports and Review of the World Literature
title_full Haematological Malignancies in Systemic Sclerosis Patients: Case Reports and Review of the World Literature
title_fullStr Haematological Malignancies in Systemic Sclerosis Patients: Case Reports and Review of the World Literature
title_full_unstemmed Haematological Malignancies in Systemic Sclerosis Patients: Case Reports and Review of the World Literature
title_short Haematological Malignancies in Systemic Sclerosis Patients: Case Reports and Review of the World Literature
title_sort haematological malignancies in systemic sclerosis patients case reports and review of the world literature
url http://dx.doi.org/10.1155/2017/6230138
work_keys_str_mv AT mcolaci haematologicalmalignanciesinsystemicsclerosispatientscasereportsandreviewoftheworldliterature
AT dgiuggioli haematologicalmalignanciesinsystemicsclerosispatientscasereportsandreviewoftheworldliterature
AT cvacchi haematologicalmalignanciesinsystemicsclerosispatientscasereportsandreviewoftheworldliterature
AT cferri haematologicalmalignanciesinsystemicsclerosispatientscasereportsandreviewoftheworldliterature