老年神经系统自身免疫性疾病与肿瘤的相关性研究  

Research on correlation between autoimmune disease of nervous system and malignancy in senile patients

作　　者：刘莹[1] 李景刚[2] 王苏[1] 

机构地区：[1]北京军区总医院干三科,北京100700 [2]解放军空军后勤部卫生部

出　　处：《西南国防医药》2013年第6期617-618,共2页Medical Journal of National Defending Forces in Southwest China

摘　　要：目的探讨老年神经系统自身免疫性疾病与恶性肿瘤的相关性。方法选择1998年1月～2007年12月我院收治的60岁以上老年神经系统自身免疫性疾病患者共41例,给予恶性肿瘤筛查并进行随访观察5年。结果本组41例老年神经系统自身免疫性疾病患者随访中,确诊肿瘤19例,占46.3%;疑似肿瘤5例,占12.2%;不确定肿瘤5例,占12.2%;排除肿瘤12例,占29.3%。确诊和疑似肿瘤的病例有24例(58.5%),不确定和排除肿瘤的病例有17例(41.5%)。结论老年神经系统自身免疫性疾病与恶性肿瘤密切相关,对于老年神经系统自身免疫性疾病患者应积极寻找病因,坚持随访观察,排查肿瘤。Objective To investigate the correlation between autoimmune disease of nervous system and malignancy in senile patients.Methods Forty one patients,who were older than 60 years old with autoimmune disease of nervous system hospitalzed from January 1998 to December 2007,were selected and received the screening for malignancy and the followed-up for 5 years.Results During the follow-up,there were 19 cases（46.3%） diagnosed as malignancy,5 ones（12.2%） were suspected as malignancy,5 ones（12.2%） whose diagnosis of malignancy was uncertain,and 12 ones（29.3%） was excluded from malignancy.24 cases（58.5%） were diagnosed or suspected as malignancy,and 17 ones（41.5%） could not be uncertain or excluded from malignancy.Conclusion There is a close correlation between autoimmune disease of nervous system and malignancy in senile patients.Therefore,the causes of autoimmune disease of nervous system should be found out,and they should follow up for cancer screening.

关 键 词：神经系统自身免疫性疾病 肿瘤 老年 

分 类 号：R593.2[医药卫生—内科学] R73[医药卫生—临床医学]