Extraintestinal Cancers in Inflammatory Bowel Disease : A Literature Review

BACKGROUND: Inflammatory bowel disease (IBD) is a group of chronic multifactorial inflammatory disorders including two major entities: Crohn's disease (CD) and ulcerative colitis (UC). Preliminary evidence suggests that patients with IBD may be at increased risk of developing intestinal and extraintestinal cancers (EICs). Actually, little is known about the association between IBD and EICs, and there is ever-growing concern regarding the safety of immunomodulators and biological therapy, which may represent a risk factor for carcinogenesis.

AIMS: The aim of this review is to summarize the evidence regarding the association between IBD and EICs, the safety of immunomodulators and biological therapy and the management of immunomodulators and biologic agents in IBD patients with prior or current EICs.

RESULTS: IBD patients have a higher risk of developing different forms of extraintestinal solid organ tumors and hematological malignancies. Immunomodulators and biological therapy may increase the risk of developing some types of EICs and may be consciously used in patients with IBD and current or prior history of malignancy.

CONCLUSIONS: Decisions regarding the use of immunomodulators or biological therapies should be made on an individual basis, considering a multidisciplinary approach involving oncologists.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:15

Enthalten in:

Cancers - 15(2023), 15 vom: 27. Juli

Sprache:

Englisch

Beteiligte Personen:

Massano, Alessandro [VerfasserIn]
Bertin, Luisa [VerfasserIn]
Zingone, Fabiana [VerfasserIn]
Buda, Andrea [VerfasserIn]
Visaggi, Pierfrancesco [VerfasserIn]
Bertani, Lorenzo [VerfasserIn]
de Bortoli, Nicola [VerfasserIn]
Fassan, Matteo [VerfasserIn]
Scarpa, Marco [VerfasserIn]
Ruffolo, Cesare [VerfasserIn]
Angriman, Imerio [VerfasserIn]
Bezzio, Cristina [VerfasserIn]
Casini, Valentina [VerfasserIn]
Ribaldone, Davide Giuseppe [VerfasserIn]
Savarino, Edoardo Vincenzo [VerfasserIn]
Barberio, Brigida [VerfasserIn]

Links:

Volltext

Themen:

Biologic agents
Extraintestinal cancers
Inflammatory bowel disease
Journal Article
Malignancy
Review

Anmerkungen:

Date Revised 06.11.2023

published: Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.3390/cancers15153824

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM360681468