Skin cancer in essential thrombocythaemia and polycythaemia vera patients treated with hydroxycarbamide

Abstract Hydroxycarbamide (HC) is used as a cytoreductive treatment in myeloproliferative neoplasms (MPN). Observational studies have raised the possibility that HC contributes to the development of secondary malignancies, including skin tumours in MPN patients. In this retrospective observational s...

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Main Authors: Abhinav Mathur, Joakim Edman, Livia Liang, Neil W. Scott, Henry G. Watson
Format: Article
Language:English
Published: Wiley 2022-11-01
Series:eJHaem
Subjects:
Online Access:https://doi.org/10.1002/jha2.551
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author Abhinav Mathur
Joakim Edman
Livia Liang
Neil W. Scott
Henry G. Watson
author_facet Abhinav Mathur
Joakim Edman
Livia Liang
Neil W. Scott
Henry G. Watson
author_sort Abhinav Mathur
collection DOAJ
description Abstract Hydroxycarbamide (HC) is used as a cytoreductive treatment in myeloproliferative neoplasms (MPN). Observational studies have raised the possibility that HC contributes to the development of secondary malignancies, including skin tumours in MPN patients. In this retrospective observational study, we report a single‐centre experience of 324 HC‐treated MPN patients with long‐term follow‐up, compared to 47 MPN patients not on HC. Thirty‐three patients (10.2%) (HC) versus one patient (2.1%) (no HC) developed skin tumours during follow‐up (Hazard ratios [HR] 5.70, 95% confidence intervals 0.66–48.09, p = 0.112). However, male gender, age at MPN diagnosis, type of MPN (polycythaemia rubra vera) and previous history of skin cancer were prognostic variables associated with development of skin cancer.
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spelling doaj.art-e227082c1857411d91eeb12e2888d6702023-10-03T16:50:47ZengWileyeJHaem2688-61462022-11-01341305130910.1002/jha2.551Skin cancer in essential thrombocythaemia and polycythaemia vera patients treated with hydroxycarbamideAbhinav Mathur0Joakim Edman1Livia Liang2Neil W. Scott3Henry G. Watson4Department Haematology Aberdeen Royal Infirmary Foresterhill Health Campus Aberdeen UKSchool of Medicine Medical Sciences and Nutrition Aberdeen University Aberdeen UKNational University Health System National University Hospital Singapore SingaporeInstitute of Applied Health Sciences University of Aberdeen, Polwarth Building, Foresterhill Aberdeen UKDepartment Haematology Aberdeen Royal Infirmary Foresterhill Health Campus Aberdeen UKAbstract Hydroxycarbamide (HC) is used as a cytoreductive treatment in myeloproliferative neoplasms (MPN). Observational studies have raised the possibility that HC contributes to the development of secondary malignancies, including skin tumours in MPN patients. In this retrospective observational study, we report a single‐centre experience of 324 HC‐treated MPN patients with long‐term follow‐up, compared to 47 MPN patients not on HC. Thirty‐three patients (10.2%) (HC) versus one patient (2.1%) (no HC) developed skin tumours during follow‐up (Hazard ratios [HR] 5.70, 95% confidence intervals 0.66–48.09, p = 0.112). However, male gender, age at MPN diagnosis, type of MPN (polycythaemia rubra vera) and previous history of skin cancer were prognostic variables associated with development of skin cancer.https://doi.org/10.1002/jha2.551essential thrombocythaemiahydroxycarbamidemelanomamyeloproliferative neoplasmnon‐melanoma skin cancerpolycythaemia vera
spellingShingle Abhinav Mathur
Joakim Edman
Livia Liang
Neil W. Scott
Henry G. Watson
Skin cancer in essential thrombocythaemia and polycythaemia vera patients treated with hydroxycarbamide
eJHaem
essential thrombocythaemia
hydroxycarbamide
melanoma
myeloproliferative neoplasm
non‐melanoma skin cancer
polycythaemia vera
title Skin cancer in essential thrombocythaemia and polycythaemia vera patients treated with hydroxycarbamide
title_full Skin cancer in essential thrombocythaemia and polycythaemia vera patients treated with hydroxycarbamide
title_fullStr Skin cancer in essential thrombocythaemia and polycythaemia vera patients treated with hydroxycarbamide
title_full_unstemmed Skin cancer in essential thrombocythaemia and polycythaemia vera patients treated with hydroxycarbamide
title_short Skin cancer in essential thrombocythaemia and polycythaemia vera patients treated with hydroxycarbamide
title_sort skin cancer in essential thrombocythaemia and polycythaemia vera patients treated with hydroxycarbamide
topic essential thrombocythaemia
hydroxycarbamide
melanoma
myeloproliferative neoplasm
non‐melanoma skin cancer
polycythaemia vera
url https://doi.org/10.1002/jha2.551
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