Skip to main content
Erschienen in: International Journal of Clinical Oncology 6/2015

01.12.2015 | Original Article

Amyloidosis and the risk of cancer: a nationwide population-based study

verfasst von: Vincent Yi-Fong Su, Chia-Jen Liu, Yu-Wen Hu, Wei-Juin Su, Yuh-Min Chen, Shinn-Liang Lai, Tzeng-Ji Chen, Diahn-Warng Perng, Yu-Chin Lee, Cheng-Hwai Tzeng, Kun-Ta Chou

Erschienen in: International Journal of Clinical Oncology | Ausgabe 6/2015

Einloggen, um Zugang zu erhalten

Abstract

Background

The association between amyloidosis and cancer remains unclear.

Participants and methods

Using the Taiwan National Health Insurance Research Database we conducted a population-based cohort study. Patients newly diagnosed with amyloidosis between 1997 and 2009 were enrolled. Patients with antecedent cancer were excluded. Standardized incidence ratios (SIR) of cancers were calculated for the study cohort and compared with cancer incidence among the general population. We used a multivariate Cox regression model to evaluate the predictors of cancer development for patients with amyloidosis.

Results

The study included 1,693 subjects with median follow-up of 5.63 years. A total of 68 patients developed cancer. The incidence of kidney cancer (SIR 3.42; 95 % CI 1.11–7.97; p = 0.034) and hematologic malignancies (SIR 3.88; 95 % CI 1.86–7.14; p < 0.001) were significantly higher for patients with amyloidosis.

Conclusion

This is currently the largest study to evaluate cancer risk among patients with amyloidosis. The results indicate that amyloidosis may be associated with an increased risk of kidney cancer and hematologic malignancies.
Literatur
1.
Zurück zum Zitat Simms RW, Prout MN, Cohen AS (1994) The epidemiology of AL and AA amyloidosis. Baillieres Clin Rheumatol 8:627–634CrossRefPubMed Simms RW, Prout MN, Cohen AS (1994) The epidemiology of AL and AA amyloidosis. Baillieres Clin Rheumatol 8:627–634CrossRefPubMed
3.
Zurück zum Zitat Balkwill F, Mantovani A (2001) Inflammation and cancer: back to Virchow? Lancet 357:539–545CrossRefPubMed Balkwill F, Mantovani A (2001) Inflammation and cancer: back to Virchow? Lancet 357:539–545CrossRefPubMed
4.
Zurück zum Zitat Dewald GW, Kyle RA, Hicks GA et al (1985) The clinical significance of cytogenetic studies in 100 patients with multiple myeloma, plasma cell leukemia, or amyloidosis. Blood 66:380–390PubMed Dewald GW, Kyle RA, Hicks GA et al (1985) The clinical significance of cytogenetic studies in 100 patients with multiple myeloma, plasma cell leukemia, or amyloidosis. Blood 66:380–390PubMed
5.
Zurück zum Zitat Caulet S, Robert I, Bardaxoglou E et al (1995) Malignant lymphoma of mucosa associated lymphoid tissue: a new etiology of amyloidosis. Pathol Res Pract 191:1203–1207CrossRefPubMed Caulet S, Robert I, Bardaxoglou E et al (1995) Malignant lymphoma of mucosa associated lymphoid tissue: a new etiology of amyloidosis. Pathol Res Pract 191:1203–1207CrossRefPubMed
6.
Zurück zum Zitat Kourelis TV, Gertz M, Zent C et al (2013) Systemic amyloidosis associated with chronic lymphocytic leukemia/small lymphocytic lymphoma. Am J Hematol 88:375–378CrossRefPubMed Kourelis TV, Gertz M, Zent C et al (2013) Systemic amyloidosis associated with chronic lymphocytic leukemia/small lymphocytic lymphoma. Am J Hematol 88:375–378CrossRefPubMed
7.
Zurück zum Zitat Chan DC, Chen CJ, Chu HC et al (2007) Evaluation of serum amyloid A as a biomarker for gastric cancer. Ann Surg Oncol 14:84–93CrossRefPubMed Chan DC, Chen CJ, Chu HC et al (2007) Evaluation of serum amyloid A as a biomarker for gastric cancer. Ann Surg Oncol 14:84–93CrossRefPubMed
8.
Zurück zum Zitat Zhang G, Sun X, Lv H et al (2012) Serum amyloid A: a new potential serum marker correlated with the stage of breast cancer. Oncol Lett 3:940–944PubMedCentralPubMed Zhang G, Sun X, Lv H et al (2012) Serum amyloid A: a new potential serum marker correlated with the stage of breast cancer. Oncol Lett 3:940–944PubMedCentralPubMed
9.
Zurück zum Zitat Fischer K, Theil G, Hoda R et al (2012) Serum amyloid A: a biomarker for renal cancer. Anticancer Res 32:1801–1804PubMed Fischer K, Theil G, Hoda R et al (2012) Serum amyloid A: a biomarker for renal cancer. Anticancer Res 32:1801–1804PubMed
10.
Zurück zum Zitat Wong E, Chew LP, Seymour JF (2013) A case of chronic lymphocytic leukemia associated with systemic light chain amyloidosis. Leuk Lymphoma 54:2062–2064CrossRefPubMed Wong E, Chew LP, Seymour JF (2013) A case of chronic lymphocytic leukemia associated with systemic light chain amyloidosis. Leuk Lymphoma 54:2062–2064CrossRefPubMed
11.
Zurück zum Zitat Park S, Cho HY, Ha SY et al (2011) Marginal zone B-cell lymphoma of MALT in small intestine associated with amyloidosis: a rare association. J Korean Med Sci 26:686–689PubMedCentralCrossRefPubMed Park S, Cho HY, Ha SY et al (2011) Marginal zone B-cell lymphoma of MALT in small intestine associated with amyloidosis: a rare association. J Korean Med Sci 26:686–689PubMedCentralCrossRefPubMed
12.
Zurück zum Zitat Benson MD, Kramer G, Abonour R (2011) Hairy cell leukemia and light chain (AL) amyloidosis: a case report. Amyloid 18(Suppl 1):101–102CrossRefPubMed Benson MD, Kramer G, Abonour R (2011) Hairy cell leukemia and light chain (AL) amyloidosis: a case report. Amyloid 18(Suppl 1):101–102CrossRefPubMed
13.
Zurück zum Zitat Piskin O, Alacacioglu I, Ozkal S et al (2008) A patient with diffuse large B-cell non-Hodgkin’s lymphoma and AA type amyloidosis. J BUON 13:113–116PubMed Piskin O, Alacacioglu I, Ozkal S et al (2008) A patient with diffuse large B-cell non-Hodgkin’s lymphoma and AA type amyloidosis. J BUON 13:113–116PubMed
14.
Zurück zum Zitat Barcelo JR, Munoz A, Mane JM et al (2003) Amyloidosis and lung cancer. Clin Lung Cancer 4:249–251 (discussion 252) CrossRefPubMed Barcelo JR, Munoz A, Mane JM et al (2003) Amyloidosis and lung cancer. Clin Lung Cancer 4:249–251 (discussion 252) CrossRefPubMed
15.
Zurück zum Zitat Dhar MC, Ghosh KC, Basu K et al (1999) Amyloidosis in a case of non-Hodgkin’s lymphoma. J Assoc Physicians India 47:249PubMed Dhar MC, Ghosh KC, Basu K et al (1999) Amyloidosis in a case of non-Hodgkin’s lymphoma. J Assoc Physicians India 47:249PubMed
17.
Zurück zum Zitat Somer TP, Tornroth TS (1985) Renal adenocarcinoma and systemic amyloidosis. Immunohistochemical and histochemical studies. Arch Pathol Lab Med 109:571–574PubMed Somer TP, Tornroth TS (1985) Renal adenocarcinoma and systemic amyloidosis. Immunohistochemical and histochemical studies. Arch Pathol Lab Med 109:571–574PubMed
18.
Zurück zum Zitat Hemminki K, Li X, Forsti A et al (2014) Cancer risk in amyloidosis patients in Sweden with novel findings on non-Hodgkin lymphoma and skin cancer. Ann Oncol 25:511–518CrossRefPubMed Hemminki K, Li X, Forsti A et al (2014) Cancer risk in amyloidosis patients in Sweden with novel findings on non-Hodgkin lymphoma and skin cancer. Ann Oncol 25:511–518CrossRefPubMed
20.
Zurück zum Zitat Su VY, Hu YW, Chou KT et al (2013) Amiodarone and the risk of cancer: a nationwide population-based study. Cancer 119:1699–1705CrossRefPubMed Su VY, Hu YW, Chou KT et al (2013) Amiodarone and the risk of cancer: a nationwide population-based study. Cancer 119:1699–1705CrossRefPubMed
21.
Zurück zum Zitat Chiang CJ, You SL, Chen CJ et al (2015) Quality assessment and improvement of nationwide cancer registration system in Taiwan: a review. Jpn J Clin Oncol 45:291–296CrossRefPubMed Chiang CJ, You SL, Chen CJ et al (2015) Quality assessment and improvement of nationwide cancer registration system in Taiwan: a review. Jpn J Clin Oncol 45:291–296CrossRefPubMed
22.
Zurück zum Zitat Liu DH, Wang XM, Zhang LJ et al (2007) Serum amyloid A protein: a potential biomarker correlated with clinical stage of lung cancer. Biomed Environ Sci 20:33–40PubMed Liu DH, Wang XM, Zhang LJ et al (2007) Serum amyloid A protein: a potential biomarker correlated with clinical stage of lung cancer. Biomed Environ Sci 20:33–40PubMed
23.
Metadaten
Titel
Amyloidosis and the risk of cancer: a nationwide population-based study
verfasst von
Vincent Yi-Fong Su
Chia-Jen Liu
Yu-Wen Hu
Wei-Juin Su
Yuh-Min Chen
Shinn-Liang Lai
Tzeng-Ji Chen
Diahn-Warng Perng
Yu-Chin Lee
Cheng-Hwai Tzeng
Kun-Ta Chou
Publikationsdatum
01.12.2015
Verlag
Springer Japan
Erschienen in
International Journal of Clinical Oncology / Ausgabe 6/2015
Print ISSN: 1341-9625
Elektronische ISSN: 1437-7772
DOI
https://doi.org/10.1007/s10147-015-0849-9

Weitere Artikel der Ausgabe 6/2015

International Journal of Clinical Oncology 6/2015 Zur Ausgabe

Adjuvante Immuntherapie verlängert Leben bei RCC

25.04.2024 Nierenkarzinom Nachrichten

Nun gibt es auch Resultate zum Gesamtüberleben: Eine adjuvante Pembrolizumab-Therapie konnte in einer Phase-3-Studie das Leben von Menschen mit Nierenzellkarzinom deutlich verlängern. Die Sterberate war im Vergleich zu Placebo um 38% geringer.

Alectinib verbessert krankheitsfreies Überleben bei ALK-positivem NSCLC

25.04.2024 NSCLC Nachrichten

Das Risiko für Rezidiv oder Tod von Patienten und Patientinnen mit reseziertem ALK-positivem NSCLC ist unter einer adjuvanten Therapie mit dem Tyrosinkinase-Inhibitor Alectinib signifikant geringer als unter platinbasierter Chemotherapie.

Bei Senioren mit Prostatakarzinom auf Anämie achten!

24.04.2024 DGIM 2024 Nachrichten

Patienten, die zur Behandlung ihres Prostatakarzinoms eine Androgendeprivationstherapie erhalten, entwickeln nicht selten eine Anämie. Wer ältere Patienten internistisch mitbetreut, sollte auf diese Nebenwirkung achten.

ICI-Therapie in der Schwangerschaft wird gut toleriert

Müssen sich Schwangere einer Krebstherapie unterziehen, rufen Immuncheckpointinhibitoren offenbar nicht mehr unerwünschte Wirkungen hervor als andere Mittel gegen Krebs.

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.