Table 1.
Clinical and Serological Data From MMP Patients With Associated Malignancies at the University of Bologna
No. | Sex/Age at Diagnosis of MMP (yr) | Sites Involved | Interval Between MMP Onset and Tumor Diagnosis | Associated Malignancy | BP Antigens BP180 and BP230 | Anti-laminin-332 | Treatment and Follow-up |
---|---|---|---|---|---|---|---|
1 | F/66 (2014) | Oral/genital, ocular | 1 yr before MMP onset | Breast cancer | Negative | Negative | MMP developed after 1 yr of surgery for breast cancer. Follow-up treatment with dapsone 200 mg/d and prednisone 7.5 mg/d without recurrence. |
2 | M/82 (2014) | Skin/oral/ocular | 1 yr after MMP onset | Metastatic laryngeal SCC | Negative | Negative | During methylprednisolone treatment, the patient developed laryngeal SCC that became metastatic after 1 yr. The steroid was discontinued and treatment with dapsone 200 mg/d in addition to radiotherapy and chemotherapy was started. He died after 6 mos. |
3 | M/48 (2013) | Oral | 3 yrs after MMP onset | Prostatic AC | Negative | ND | Oral MMP, involving exclusively the hard palate and the gums. Systemic steroids and dapsone with favorable results until complete remission. Prostatic AC after 3 yrs. Follow-up without MMP relapses. |
4 | F/83 (2016) | Ocular | 1 yr after MMP onset | Hepatic cancer | Negative | Negative | Breast cancer at age 72, mastectomy, and liver cirrhosis for chronic hepatitis, with eye MMP, under treatment with methylprednisolone. Hepatocarcinoma developed recently during follow-up. |
AC = adenocarcinoma; BP = bullous pemphigoid; ND = not done; SCC = squamous cell carcinoma.