Evidence map›Paper›PMID 40824517›Full record

ArticleDermatology and therapy2025

Cancer Risk in Vitiligo: No Evidence of Increased Prevalence-A Systematic Review and Meta-analysis.

Alzahra A Mohammed, Anna S Lengyel, Fanni A Meznerics, István Szondy, Anna Walter, Benedek Nagy, Zsófia Csábi, András Bánvölgyi, Norbert Kiss, Péter Hegyi and 2 more

Abstract read
In one paragraph

Article in Dermatology and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Vitiligo-Current Treatment Options and Future Perspectives.International journal of molecular sciences · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Alzahra A MohammedDepartment of Dermatology, Venereology and Dermatooncology, Faculty of Medicine, Semmelweis University, Budapest, 1085, Hungary.ORCID http://orcid.org/0009-0001-8719-4412
Anna S LengyelDepartment of Dermatology, Venereology and Dermatooncology, Faculty of Medicine, Semmelweis University, Budapest, 1085, Hungary.
Fanni A MeznericsDepartment of Dermatology, Venereology and Dermatooncology, Faculty of Medicine, Semmelweis University, Budapest, 1085, Hungary.
István SzondyDepartment of Dermatology, Venereology and Dermatooncology, Faculty of Medicine, Semmelweis University, Budapest, 1085, Hungary.
Anna WalterInstitute for Translational Medicine, Medical School, University of Pécs, Pécs, 7623, Hungary.
Benedek NagyHCEMM-SU Translational Dermatology Research Group, Semmelweis University, Budapest, 1094, Hungary.
Zsófia CsábiHCEMM-SU Translational Dermatology Research Group, Semmelweis University, Budapest, 1094, Hungary.
András BánvölgyiDepartment of Dermatology, Venereology and Dermatooncology, Faculty of Medicine, Semmelweis University, Budapest, 1085, Hungary.
Norbert KissDepartment of Dermatology, Venereology and Dermatooncology, Faculty of Medicine, Semmelweis University, Budapest, 1085, Hungary.
Péter HegyiCentre for Translational Medicine, Semmelweis University, Budapest, 1085, Hungary.
Zsuzsanna Kurgyis *HCEMM-SU Translational Dermatology Research Group, Semmelweis University, Budapest, 1094, Hungary. zsuzsanna.kurgyis@tum.de.
Lajos V Kemény *Department of Dermatology, Venereology and Dermatooncology, Faculty of Medicine, Semmelweis University, Budapest, 1085, Hungary. kemeny.lajos@semmelweis.hu.

Funding

EU Horizon 2020 research and innovation program 739593Magyar Tudományos Akadémia LP2024-12/2024Nemzeti Kutatási Fejlesztési és Innovációs Hivatal OTKA FK138696
6 · The paper itself

Abstract

introductionVitiligo, a chronic depigmenting disorder affecting 1-2% of the global population, is caused by immune-mediated melanocyte destruction. While its pathogenesis is multifactorial, the relationship between vitiligo and malignancy risk remains controversial. Some studies suggest an increased cancer risk, while others propose a potential protective effect, particularly against skin cancers. This study provides a comprehensive evaluation of malignancy risks in patients with vitiligo.

methodsThis systematic review and meta-analysis followed PRISMA 2020 guidelines and was registered with PROSPERO (CRD42023483130). A comprehensive search was conducted across Medline, EMBASE, and Cochrane databases. Studies reporting hazard ratios for malignancy incidence in patients with vitiligo were included. Data extraction and risk of bias assessment were performed using the Cochrane ROBINS-E tool.

resultsOf 7753 records identified, 6378 remained after duplicates were removed, and 12 studies were included in the final review. Quantitative analysis was performed on six studies. The combined sample comprised 3,267,951 participants, including 289,322 patients with vitiligo. Three meta-analyses were conducted for melanoma, non-melanoma skin cancer, and lymphoma. The pooled hazard ratio (HR) for lymphoma was 1.00 (95% CI 0.40-2.53), for melanoma 0.80 (95% CI 0.27-2.34), and for non-melanoma skin cancer 0.38 (95% CI 0.00-732.76), suggesting no consistent associations.

conclusionThis meta-analysis did not identify significant differences in cancer risk across the examined subgroups. While a protective effect of vitiligo against some malignancies cannot be excluded, substantial heterogeneity among studies warrants cautious interpretation. Further high-quality research is needed to clarify these associations.

Indexed as

Cancer riskLymphomaMelanomaMeta-analysisNon-melanoma skin cancerSkin cancerSystematic reviewVitiligo

Identifiers

PMID40824517
PMCPMC12454785

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.