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Paraneoplastic syndromes in daily clinical practice
 
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1
Department of Internal Medicine, Medical University, Lublin, Poland
 
2
Children’s Regional Hospital of St Louis, Cracow, Poland
 
 
Corresponding author
Andrzej Prystupa   

Chair and Department of Internal Medicine, Medical University, Staszica 16, 20-081 Lublin, Poland
 
 
J Pre Clin Clin Res. 2014;8(2):71-75
 
KEYWORDS
ABSTRACT
Paraneoplastic syndromes consist of disorders that accompany benign and malignant tumours, but are not directly related to mass effects or invasion by the primary tumour or its metastases. The pathophysiology of mostly paraneoplastic syndromes is not well known. The usual mechanism of their development is the aberrant production of substances (protein hormones, hormone precursors or hormone-like substances) by tumour tissue or autoimmune disorder. The neurological paraneoplastic syndromes are autoimmune disorders that can affect almost any part of the nervous system. The endocrine paraneoplastic syndromes are often certain clinical syndromes like paraneoplastic hypercalcaemia or the aberrant production of hormones by cancers. Many haematologic conditions, including anaemia, leucocytosis, thrombocytopenia or thrombocytosis, coagulapathy have been reported in association with cancer. Also paraneoplastic rheumatic syndromes have been reported in association of cancer. Skin can be involved in cancer in different ways: by metastases, as a part of a genetic disorder with a cutaneous component in which there is an inherited predisposition to the later development of malignancy, as a part of an acquired syndrome due to the toxicity of a carcinogen that induces malignant change and accompanying skin changes, as a consequence of immunosuppression, or by the development of specific lesions that occur as a paraneoplastic syndromes The most frequently diagnosed dermatologic conditions include acrokeratosis paraneoplastica, Sweet’s syndrome and paraneoplastic pemphigus. The purpose of this article is to describe the most popular in internal clinical practice neurologic, endocrine, aematologic, rheumatologic and dermatologic paraneoplastic syndromes associated with cancer.
 
REFERENCES (28)
1.
Schiller M, Bohm M, Hensen P, Riemann H, Luger TA, Nashan D. Dermatomyositis associated with malignant melanoma –A marker of poor prognosis? J Am Acad Dermatol, 2006; 54(2): 221–226.
 
2.
Anderson N. Neurologic paraneoplastic syndromes. Journal of Clinical Neuroscience, 2010; 17: 1610–1638.
 
3.
Greenlee JE. Treatment of paraneoplastic neurologic disorders. Neuroimmunology 2010; 12: 212–230.
 
4.
Psimaras D, Carpentier AF, Rossi C. CSF study in paraneoplastic syndromes. J Neurol Neurosurg Psychiatry (in press).
 
5.
Graus F, Delattre JY, Antoine JC, et al. Recommended diagnostic criteria for paraneoplastic neurological syndromes. J Neurol Neurosurg Psychiatry 2004; 75: 1135–1140.
 
6.
Saiz A, Bruna J, Stourac P, et al. Anti-Hu-associated brainstem encephalitis. J Neurol Neurosurg Psychiatry 2009; 80: 404–407.
 
7.
Demarquay G, Didelot A, Rogemond V,Ryvlin P, Gouttard M, Garassus P, et al. Facial pain as first manifestation of anti-Hu paraneoplastic syndrome. J Headache Pain 2010; 11: 355–357.
 
8.
Zilli T, Allal AS. Guillain-Barre syndrome as an atypical manifestation of an esophageal carcinoma. Neurol Sci. 2011; 32: 151–153.
 
9.
De Lellis RA, Xia L. Paraneoplastic endocrine syndromes: a review. Endocrine Pathology 2003; 14(4): 303–117.
 
10.
Toro C, Rinaldo A, Silver CE, Politi M, Ferlito A. Paraneoplastic syndromes in patients with oral cancer. Oral Oncology 2010; 46: 14–18.
 
11.
Staszewski H. Hematological Paraneoplastic Syndromes.Semin. Oncol. 1997; 24: 329–333.
 
12.
Robak T. Zastosowanie czynników wzrostowych układu krwiotwórczego. In: Krzakowski M, ed. Onkologia kliniczna. Warszawa: Borgis Wyd Med. 2001: 343–355 (in Polish).
 
13.
Gorden-Smith EG, Contreras M. Acquired haemolytic anaemia. In: Weatherall DJ, Ledingham JGG, Warrell DA, ed. Oxford Texbook of Medicine. Oksford: Oxford University Press, 1996.p.3547–3548.
 
14.
Piccioli A, Prandoni P. Venous thromboembolism as first manifestation of cancer. Acta Haematol. 2001; 106(1–2): 13–17.
 
15.
Mandal`a M, Falanga R, Roila F. Management of venous thromboembolism (VTE) in cancer patients. ESMO Clinical Practice Guidelines. Annals Oncology 2011; 22: 85–92.
 
16.
Varki A. Trousseau’s syndrome: multiple definitions and multiple mechanisms. Blood. 2007; 110(6): 1723–1729.
 
17.
Piccioli A, Lensing AWA, Prins MH. Extensive screening for occult malignant disease in idiopathic venous thromboembolism: a prospective randomized clinical trial. Journal of Thrombosis and Haemostasis 2004; 2: 884–889.
 
18.
Naschitz JE, Rosner I, Rozenbaum M, et al. Rheumatic Syndromes: Clues to Occult Neoplasia. Semin Arthritis Rheum. 1999; 29: 43–55.
 
19.
Cibere J, Sibley J, Haga M. Rheumatoid arthritis and the risk of malignancy. Arthritis Rheum. 1997; 40: 1580–1586.
 
20.
Tennis E, Andrews E, Bombardier C, et al. Record linkage to conduct an epidemiologic study on the association of rheumatoid arthritis and lymphoma in the province of Saskachewan, Canada. J Clin Epidemiol. 1993; 46: 685–695.
 
21.
DeCross AJ, Sahasrabudhe DM. Paraneoplastic Raynand’s phenomenon. Am J Med 1992; 570- 572.
 
22.
Cohen PR, Kurzrock R. Mucocutaneous Paraneoplastic Syndromes. Semin Oncol. 1997; 24: 334–359.
 
23.
Turner HE, Wass JAH. Ectopic Hormone Syndromes. In: DeGroot LJ, Jameson JL, eds. Endocrinology, 4th ed. Philadelphia, PA:WB Saunders, 2001.p.2559–2573.
 
24.
Mundy G, Guise TA. Hypercalcemia of malignancy. Am J Med. 1997; 103: 134–145.
 
25.
North, WG, Neuropeptide production by small cell carcinoma: vasopressin and oxytocin as plasma markers of disease. J Clin Endocrinol Metab. 1991; 73: 1316–1320.
 
26.
Bliss DP, Battey JF, Linnoila RI, et al. Expression of the atrial natriuretic factor gene in small cell lung cancer/tumors and tumor cell lines. J Natl Cancer Inst. 1990; 82: 305–310.
 
27.
Campling BG, Sarda IP, Baer K, et al. Secretion of atrial natriuretic peptide and vasopressin by small cell lung cancer. Cancer 1995; 75: 2442–2451.
 
28.
Chandiramani M, Joynsony C, Panchaly R, Symondsy RP, Browny LJR, Morgany B, Decatrisz M. Dermatomyositis as a paraneoplastic syndrome in carcinosarcoma of uterine origin. Clinical Oncology 2006; 18: 641–648.
 
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