Epidemiology and Outcome of Squamous Cell Carcinoma in Epidermolysis Bullosa in Australia and New Zealand

被引:38
作者
Kim, Minhee [1 ,4 ]
Li, Minmin [1 ,4 ]
Intong-Wheeler, Lizbeth R. A. [1 ]
Tran, Kim [2 ,4 ]
Marucci, Damian [3 ,4 ]
Murrell, Dedee F. [1 ,4 ]
机构
[1] St George Hosp, Dept Dermatol, Gray St, Sydney, NSW 2217, Australia
[2] SEALS, Dept Anat Pathol, Sydney, NSW, Australia
[3] St George Hosp, Dept Plast Surg, Sydney, NSW, Australia
[4] Univ New South Wales, Sydney, NSW, Australia
关键词
recessive dystrophic epidermolysis bullosa; squamous cell carcinoma; epidemiology; prognosis; VII COLLAGEN; SKIN; MANAGEMENT; DIAGNOSIS; RISK;
D O I
10.2340/00015555-2781
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
We investigate the epidemiology and outcomes of squamous cell carcinoma (SCC) in recessive dystrophic epidermolysis bullosa (RDEB) from the Australasian EB registry cohort. Seventeen out of 49 (34.6%) RDEB patients developed at least one SCC. Data detailing SCC was obtainable from 16/17 RDEB-SCC patients. A total number of 161 primary SCCs occurred in 16 RDEB-SCC patients with a mean of 10 SCCs per person. The earliest age of first SCC development was 16 years. Eleven out of 16 RDEB-SCC patients eventually developed metastatic SCCs. The majority of the tumours were well and moderately differentiated. The cumulative risk of SCC development by age 35 was 76.1% for RDEB-Generalized Severe (RDEB-GS) and 10% for RDEB-Generalized Intermediate (RDEB-GI). Amongst those who developed SCCs, their median time to death after first SCC was 5 years for RDEB-GI and 4 years for RDEBGS. This is the first retrospective study of RDEB-SCC in Australasia.
引用
收藏
页码:70 / 76
页数:7
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