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并发乳腺恶性肿瘤及治疗相关并发症的系统性硬化症复杂病例

英文原题:A Complex Case of Systemic Sclerosis with Concurrent Breast Malignancy and Treatment-related Complications.

查看英文原题

A Complex Case of Systemic Sclerosis with Concurrent Breast Malignancy and Treatment-related Complications.

PubMed 2026/06/01(内容时间) J Assoc Physicians India

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中文摘要

系统性硬化症(SSc)是一种复杂的自身免疫性疾病,以血管病变、纤维化和多系统受累为特征。间质性肺病(ILD)和肺动脉高压(PH)是主要的死亡原因。重要的是,SSc与恶性肿瘤风险增加相关。本报告呈现了一例具有挑战性的SSc病例,表现为严重的雷诺现象(RP)、指端坏疽、皮肤钙质沉着症、广泛的ILD、严重的PH,以及右心衰竭。该患者接受了间充质干细胞治疗(MST),随后发展为乳腺癌和化疗相关的并发症,最终导致死亡。本病例强调了及时干预、筛查恶性肿瘤以及认识SSc中潜在治疗相关风险的必要性。

展开英文摘要原文

Systemic sclerosis (SSc) is a complex autoimmune disease marked by vasculopathy, fibrosis, and multisystem involvement. Interstitial lung disease (ILD) and pulmonary hypertension (PH) are major mortality contributors.

Importantly, SSc is associated with an increased risk of malignancy. This report presents a challenging case of SSc with severe Raynaud's phenomenon (RP), digital gangrene, calcinosis cutis, extensive ILD, severe PH, and right heart failure. The patient underwent mesenchymal stem cell therapy (MST), following which she developed breast cancer and chemotherapy-related complications, ultimately leading to death. This case highlights the need for timely intervention, screening for malignancy, and awareness of potential therapy-related risks in SSc.

论文信息

作者
Parimi VP、Tejaswini RN
第一作者单位
Associate Professor and Senior Consultant Rheumatologist, Department of Clinical Immunology and Rheumatology, ESIC Medical College & Hospital, Hyderabad, Telangana, India, Corresponding Author.India
通讯作者单位
DrNB SS Resident, Department of Clinical Immunology and Rheumatology, ESIC Medical College & Hospital, Hyderabad, Telangana, India.India
文献类型
病例报告
期刊
The Journal of the Association of Physicians of India2026 Jun
原文标识
PubMed 42543979 · DOI 10.59556/japi.74.1350