Evidence map›Paper›PMID 42579256›Full record

ArticleClinical rheumatology2026

Cancer-associated myositis: a single-centre 20-year experience.

Vasiliki Syrmou, Theodora Simopoulou, Eleni Patrikiou, Christos Liaskos, Ioannis Alexiou, Lazaros I Sakkas, Christina G Katsiari, Dimitrios P Bogdanos

Abstract read
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Article in Clinical rheumatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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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

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No citing paper in PubMed yet.

4 · The record

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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

8 authors.

Vasiliki SyrmouDepartment of Rheumatology and Clinical Immunology, Faculty of Medicine, School of Health Sciences, University of Thessaly, University General Hospital of Larissa, Viopolis, Mezourlo Hill, Larissa, 41500, Greece.ORCID http://orcid.org/0000-0002-1788-0310
Theodora SimopoulouDepartment of Rheumatology and Clinical Immunology, Faculty of Medicine, School of Health Sciences, University of Thessaly, University General Hospital of Larissa, Viopolis, Mezourlo Hill, Larissa, 41500, Greece.ORCID http://orcid.org/0000-0003-2604-5090
Eleni PatrikiouDepartment of Rheumatology and Clinical Immunology, Faculty of Medicine, School of Health Sciences, University of Thessaly, University General Hospital of Larissa, Viopolis, Mezourlo Hill, Larissa, 41500, Greece.ORCID http://orcid.org/0000-0002-4442-5655
Christos LiaskosDepartment of Rheumatology and Clinical Immunology, Faculty of Medicine, School of Health Sciences, University of Thessaly, University General Hospital of Larissa, Viopolis, Mezourlo Hill, Larissa, 41500, Greece.ORCID http://orcid.org/0000-0001-8343-3810
Ioannis AlexiouDepartment of Rheumatology and Clinical Immunology, Faculty of Medicine, School of Health Sciences, University of Thessaly, University General Hospital of Larissa, Viopolis, Mezourlo Hill, Larissa, 41500, Greece.ORCID http://orcid.org/0000-0002-1817-3159
Lazaros I SakkasDepartment of Rheumatology and Clinical Immunology, Faculty of Medicine, School of Health Sciences, University of Thessaly, University General Hospital of Larissa, Viopolis, Mezourlo Hill, Larissa, 41500, Greece.ORCID http://orcid.org/0000-0002-7670-3314
Christina G KatsiariDepartment of Rheumatology and Clinical Immunology, Faculty of Medicine, School of Health Sciences, University of Thessaly, University General Hospital of Larissa, Viopolis, Mezourlo Hill, Larissa, 41500, Greece.ORCID http://orcid.org/0000-0002-4174-6576
Dimitrios P BogdanosDepartment of Rheumatology and Clinical Immunology, Faculty of Medicine, School of Health Sciences, University of Thessaly, University General Hospital of Larissa, Viopolis, Mezourlo Hill, Larissa, 41500, Greece. bogdanos@med.uth.gr.ORCID http://orcid.org/0000-0002-9697-7902

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMalignancy identified around the onset of idiopathic inflammatory myopathy (IIM) is referred to as cancer-associated myositis (CAM), but population-specific data remain relatively limited.

aimTo describe the prevalence, clinical features, and risk factors for CAM over a 20-year period in a single tertiary centre in Greece.

methodsA retrospective analysis was conducted on 113 IIM cases treated between 2001 and 2024 in our department, which is a referral centre for rheumatic disease in Central Greece. Medical records were evaluated for demographics, clinical characteristics, autoantibody profile, and comorbidities. CAM was defined as cases of myositis complicated by the onset or recurrence of cancer within 3 years before or after the diagnosis of myositis.

resultsCAM was identified in 25 (22.1%) patients. Older age and dermatomyositis subtype were associated with CAM. Anti-TIF1γ autoantibody confers significantly higher risk (OR 6.9, p < 0.001), while anti-Jo1 lowers risk (OR 0.13, p = 0.022). Gottron's papules and Holster sign were significantly associated with CAM. Raynaud's phenomenon, interstitial lung disease and the non-interstitial pneumonia pattern appeared protective. Hypothyroidism was less common, while myocardial infarction was more frequent in CAM. Breast, ovarian, and lung cancers were the most common malignancies identified. In most cases, malignancy was asymptomatic (85%) and was determined upon screening. Survival was significantly lower in CAM p < 0.001 with the survival rate dropping down to 45% at 31 months vs 95.9% in non-CAM. Median survival was 21 months in CAM cases (1-79 months).

conclusionCAM accounts for a substantial proportion of IIM cases. Anti-TIF1γ positivity, older age, absence of Raynaud's phenomenon, and absence of ILD may serve as clinical flags in our cohort. Comprehensive cancer screening, including GI endoscopy, remains vital in the initial assessment and follow-up, primarily upon relapses and lack of remission. Key Points • Population-based studies on cancer-associated myopathy have established a clear, strong link between idiopathic inflammatory myopathies (IIM) and malignancy, often termed cancer-associated myositis (CAM). • This study examines CAM prevalence, features, and risk factors over 20 years at a Greek tertiary center. • CAM was present in 22% of IIM patients, mostly asymptomatic (85%), identified through screening; breast, ovarian, and lung cancers were the common malignancies. • Akin to previous studies, anti-TIF1γ autoantibody confers a significantly higher risk, while anti-Jo1 lowers risk.

Indexed as

MyositisNeoplasmsAdultAgedAged, 80 and overAutoantibodiesFemaleGreeceHumansMaleMiddle AgedPrevalenceRetrospective StudiesRisk FactorsAutoantibodiesDysphagiaMalignancyMyositisParaneoplastic phenomenonRash

Identifiers

PMID42579256
PMCPMC13582042

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