Colon Adenocarcinoma and Paraneoplastic Polymyositis: the Importance of a Rehabilitation Program

Authors

  • Ana Filipa Neves Serviço de MFR, Centro Hospitalar Lisboa Central, Lisboa, Portugal
  • Ana Calado Serviço de MFR, Centro Hospitalar Lisboa Central, Lisboa, Portugal

DOI:

https://doi.org/10.25759/spmfr.201

Keywords:

Colorectal Neoplasms/rehabilitation, Polymyositis/rehabilitation

Abstract

Carcinoma of the colon and rectum is the most frequent gastrointestinal tumor. Polymyositis is a rare idiopathic inflammatory disease and is manifested by decrease in proximal muscle strength. Rarely, it can be associated with paraneoplastic syndrome. There are several studies on the relationship between cancer and dermatomyositis or polymyositis. However, the association of adenocarcinoma of the colon and inflammatory myopathies is rare, specially in the absence of skin lesions. We report a case of a patient with adenocarcinoma of the colon, evaluated in the emergency unit due to symptoms of paraneoplastic polymyositis, and subsequent clinical follow-up, underlining the role of rehabilitation in oncologic patients, attending this clinical entity in particular.

Downloads

Download data is not yet available.

References

Medscape [homepage na Internet]. Dragovich T. Tskikitis V. Colon Cancer. 2015. [consultado 2015 Maio 21]. Disponível em: http://emedicine.medscape.com/article/277496-overview.

Miranda N, Portugal, Cristina PJN, Farinha CS, Soares A, Alves MI, Rosa MV, et al. In: Sau

Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper DL, et al. Harrison’s principles of internal medicine. 17th ed. New York: McGraw Hill; 2008. p.573-8.

Rominiyi O, Broman DM, Rajaganeshan R, Selvasekar CR. Colon cancer presenting with polymyositis-A case report. Int J Surg Case Rep. 2011;2:225–7.

Okamoto M, Kanno K, Egi H, Ohdan H TS. A case of paraneoplastic syndrome mimicking adult Still’ s disease caused by rectal cancer. J Am Geriatr Soc. 2013;61:23855867.

Espinoza-Cobos JC, Pérez-Figueroa J, Zúñiga-Ahuet G, Dorantes M a, Grube-Pagola P, Ruíz-Juárez I, et al. Disfagia orofaringea como primera manifestacion de dermatopolimiositis asociada a cancer de colon. Rev Gastroenterol Mex. 75:522–7.

Philpott H, Hissaria P, Warrren L, Singhal N, Brown M, Proudman S, et al. Eosinophilic fasciitis as a paraneoplastic phenomenon associated with metastatic colorectal carcinoma. Australas J Dermatol. 2008; 49:27–9.

Slee PHTJ, Van Der Waal RIF, Schagen Van Leeuwen JH, Tupker R, Timmer R, Seldenrijk C, et al. Paraneoplastic hypertrichosis lanuginosa acquisita: Uncommon or overlooked? Br J Dermatol. 2007;157:1087–92.

Bedi S, Krishnamoorthy VK, Simpson L SJ. Garcia syndrome associated with metastatic colorectal carcinoma. Am J Med. 2004;117:15300978.

Gilson Silva MV. Neurologia Clínica. 1st ed. Editora Universitária da Universidade Federal de Pernambuco (UFPE).Brasil, editor. ABEU; 2004. p.407-28.

Medscape [homepage na Internet]. Pappu A, Diamond H. Polymyositis. 2014. [consultado 2015, Fevereiro 1]. Disponível em: http://emedicine.medscape.com/article/335925-overview.

Hejazi SMA, Engkasan JP, Qomi MS. Intensive exercise and a patient in acute phase of polymyositis. J Back Musculoskelet Rehabil. 2012;25:231–4.

Hill CL, Zhang Y, Sigurgeirsson B, Pukkala E, Mellemkjaer L, Airio A, et al. Frequency of specific cancer types in dermatomyositis and polymyositis: A population-based study. Lancet. 2001;357:96–100.

Mihali E, Mure

Zahr ZA, Baer AN. Malignancy in myositis. Curr Rheumatol Rep. 2011;13:208–15.

Mariotto AB, Robin Yabroff K, Shao Y, Feuer EJ, Brown ML. Projections of the cost of cancer care in the United States: 2010-2020. J Natl Cancer Inst. 2011;103:117–28.

Rosa F, Ferrari M, Buschiazzo A, Lanfranco E. Myopathy as paraneoplastic syndrome of colon malignancy in an elderly. Aging Clin Exp Res. 2013;25:221–3.

Nyui S, Osanai H, Ohba S, Masuoka H, Yoshida Y. Relapse of colon cancer followed by polymyositis: Report of a case and review of the literature. Surg Today. 1997;27:559–62.

LC, Rothstein JL. Oncogenic inflammation and autoimmune disease. Autoimmun Rev. 2006;6:107–14.

Zampieri S, Valente M, Adami N, Biral D, Ghirardello A, Rampudda ME, et al. Polymyositis, dermatomyositis and malignancy: A further intriguing link. Autoimmun Rev. 2010;9:449–53.

Limaye VS, Blumbergs P, Roberts-Thomson PJ. Idiopathic inflammatory myopathies. Intern Med J. 2009;39:179-190.

Briani C, Doria A, Sarzi-Puttini P, Dalakas MC. Update on idiopathic inflammatory myopathies. Autoimmunity. 2006;39:161-70.

Casciola-Rosen L, Nagaraju K, Plotz P, Wang K, Levine S, Gabrielson E, et al. Enhanced autoantigen expression in regenerating muscle cells in idiopathic inflammatory myopathy. J Exp Med. 2005;201:591–601.

Ghirardello A, Bassi N, Palma L, Borella E, Domeneghetti M, Punzi L DA. Autoantibodies in polymyositis and dermatomyositis. Curr Rheumatol Rep. 2013;15:335.

Ghirardello A, Zampieri S, Tarricone E, Iaccarino L, Gorza L, Doria A. Cutting edge issues in polymyositis. Clin Rev Allergy Immune. 2011;41:179–89.

Acciavatti A, Avolio T, Rappuoli S, Foderi L, Soldati V, Franchi M, et al. Paraneoplastic necrotizing myopathy associated with adenocarcinoma of the lung - a rare entity with atypical onset: a case report. J Med Case Rep. 2013;25:112.

Medscape [homepage na Internet]. Santacroce L. Balducci L, Diomede L. Paraneoplastic Syndromes: Background, Pathophysiology. 2014. [consultado 2014, Dezembro 1]. Disponível em: http://emedicine.medscape.com/article/280744-overview.

Asadi M, Javanbakht M, Khajavian S, Zand S. Rapidly progressive myositis as the sole manifestation of a concurrent gastric carcinoma. BMJ Case Rep. 2010:5;2010.

Eickmeyer SM, Gamble GL, Shahpar S, Do KD. The role and efficacy of exercise in persons with cancer. PM R. 2012;4:874–81.

Speck RM, Courneya KS, Mâsse LC, Duval S SK. An update of controlled physical activity trials in cancer survivors: a systematic review and meta-analysis. J Cancer Surviv. 2010;4:87–100.

Lakoski SG, Eves ND, Douglas PS, Jones LW. Exercise rehabilitation in patients with cancer. Nat Rev Clin Oncol. 2012;9:288–96.

Ballard-Barbash R, Friedenreich CM, Courneya KS, Siddiqi SM, McTiernan A, Alfano CM. Physical activity, biomarerks, and disease outcomes in cancer survivors: a systematic review. J Natl Cancer Inst. 2012;104:815–40.

Friedenreich CM, Neilson HK, Lynch BM. State of the epidemiological evidence on physical activity and cancer prevention. Eur J Cancer. 2010;46:2593-604.

Kushi LH, Doyle C, McCullough M, Rock CL, Demark-Wahnefried W, American Cancer Society 2010 Nutrition and Physical Activity Guidelines Advisory Committee, et al. American Cancer Society Guidelines on nutrition and physical activity for cancer prevention: reducing the risk of cancer with healthy food choices and physical activity. CA Cancer J Clin. 2012;62:30-67.

Heikkillä S, Viitanen J V, Kautiainen H, Rajamäki T, Mäntyvuo P, Harju T. Rehabilitation in myositis. Physiotherapy. 2001;87:301–9.

Wiesinger GF, Quittan M, Aringer M, Seeber A, Volc-Platzer B, Smolen J, et al. Improvement of physical fitness and muscle strength in polymyositis/dermatomyositis patients by a training programme. Br J Rheumatol. 1998;37:196–200.

Varjú C, Pethö E, Kutas R, Czirják L. The effect of physical exercise following acute disease exacerbation in patients with dermato/polymyositis. Clin Rehabil. 2003;17:83–7.

Lowe SS, Watanabe SM, Courneya KS. Physical activity as a supportive care intervention in palliative cancer patients: a systematic review. J Support Oncol. 2009;7:27–34.

Stockton D, Doherty VR , Brewster DH . Risk of cancer in patients with dermatomyositis or polymyositis, and follow-up implications: a Scottish population-based cohort study. Br J Cancer. 2001;85:41–5.

Sigurgeirsson B, Lindelöf B, Edhag O, Allander E. Risk of cancer in patients with dermatomyositis or polymyositis. A population-based study. N Engl J Med. 1992;326:363–7.

Airio A, Pukkala E, Isomäki H. Elevated cancer incidence in patients with dermatomyositis: a population based study. J Rheumatol. 1995;22:1300-3.

How to Cite

1.
Neves AF, Calado A. Colon Adenocarcinoma and Paraneoplastic Polymyositis: the Importance of a Rehabilitation Program. SPMFR [Internet]. 2016 Jan. 17 [cited 2024 Nov. 25];27(2):19-23. Available from: https://spmfrjournal.org/index.php/spmfr/article/view/201

Issue

Section

Case Report