Multiple basal cell carcinomas and malignant melanoma following radiotherapy for ankylosing spondylitis

被引:11
作者
Beswick, SJ [1 ]
Garrido, MC
Fryer, AA
Strange, RC
Smith, AG
机构
[1] N Staffordshire Hosp, Postgrad Med Sch, Dept Dermatol, Stoke On Trent ST4 7PA, Staffs, England
[2] N Staffordshire Hosp, Postgrad Med Sch, Dept Histopathol, Stoke On Trent ST4 7PA, Staffs, England
[3] N Staffordshire Hosp, Postgrad Med Sch, Ctr Cell & Mol Med, Stoke On Trent ST4 7PA, Staffs, England
关键词
D O I
10.1046/j.1365-2230.2000.00668.x
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
We present the case of a 53-year-old Caucasian woman with seven basal cell carcinomas and one malignant melanoma in situ along her back overlying her spine, which was irradiated in 1968 for ankylosing spondylitis. These lesions developed between 1997 and 1999. She has no other known risk factors for cutaneous malignancy, in particular no history of excessive sun exposure. She has skin type 2. Molecular studies of glutathione S-transferase and cytochrome P450 status showed her genotype not to constitute an overall increased inherited susceptibility. We therefore postulate that all her skin cancers have arisen as a consequence of her radiotherapy. To our knowledge this is the first case of multiple basal cell carcinoma in addition to a malignant melanoma following radiotherapy for benign disease.
引用
收藏
页码:381 / 383
页数:3
相关论文
共 12 条
[1]  
Austin DF, 1997, AM J EPIDEMIOL, V145, P524, DOI 10.1093/oxfordjournals.aje.a009140
[2]  
CATTERALL M, 1984, LANCET, V1, P1121
[3]   GLUTATHIONE-S-TRANSFERASE GSTM1 PHENOTYPES AND PROTECTION AGAINST CUTANEOUS TUMORS [J].
HEAGERTY, AHM ;
FITZGERALD, D ;
SMITH, A ;
BOWERS, B ;
JONES, P ;
FRYER, AA ;
ZHAO, L ;
ALLDERSEA, J ;
STRANGE, RC .
LANCET, 1994, 343 (8892) :266-268
[4]   Risk of basal cell and squamous cell skin cancers after ionizing radiation therapy [J].
Karagas, MR ;
McDonald, JA ;
Greenberg, ER ;
Stukel, TA ;
Weiss, JE ;
Baron, JA ;
Stevens, M .
JOURNAL OF THE NATIONAL CANCER INSTITUTE, 1996, 88 (24) :1848-1853
[5]   Neovaginal malignant melanoma following surgery and radiation for vulvar squamous cell carcinoma [J].
Lara, PN ;
Hearn, E ;
Leigh, B .
GYNECOLOGIC ONCOLOGY, 1997, 65 (03) :520-522
[6]   Basal cell carcinoma [J].
Lear, JT ;
Harvey, I ;
de Berker, D ;
Strange, RC ;
Fryer, AA .
JOURNAL OF THE ROYAL SOCIETY OF MEDICINE, 1998, 91 (11) :585-588
[7]   MALIGNANT-MELANOMA AND OTHER 2ND CUTANEOUS MALIGNANCIES IN CUTANEOUS T-CELL LYMPHOMA - THE INFLUENCE OF ADDITIONAL THERAPY AFTER TOTAL SKIN ELECTRON-BEAM RADIATION [J].
LICATA, AG ;
WILSON, LD ;
BRAVERMAN, IM ;
FELDMAN, AM ;
KACINSKI, BM .
ARCHIVES OF DERMATOLOGY, 1995, 131 (04) :432-435
[8]  
ORDER SE, 1996, RAD THERAPY BENIGN D
[9]   MULTIPLE ERYTHEMATOUS PAPULES ON THE BACK OF A PATIENT WITH ANKYLOSING-SPONDYLITIS - DIAGNOSIS - MULTIPLE BASAL-CELL CARCINOMAS (BCCS) SECONDARY TO RADIATION EXPOSURE [J].
SALVEMINI, JN ;
CANDE, FP ;
LYNFIELD, Y ;
BALDWIN, H .
ARCHIVES OF DERMATOLOGY, 1995, 131 (04) :483-&
[10]   Glutathione S-transferase polymorphisms:: influence on susceptibility to cancer [J].
Strange, RC ;
Lear, JT ;
Fryer, AA .
CHEMICO-BIOLOGICAL INTERACTIONS, 1998, 112 :351-364