Cirrhosis resulting from autoimmune hepatitis is associated with an increased risk of hepatocellular carcinoma. A common treatment for autoimmune hepatitis, azathioprine, is also associated with the development of many other cancers, predominantly lymphomas. The strongest association is seen for post-transplant lymphoma and hepatosplenic T-cell lymphoma in Crohn's disease and ulcerative colitis patients; there is also an association with a variety of cutaneous malignancies. A relationship between azathioprine and sarcoma has not been demonstrated, though there have been sporadic case reports. We report here the development of leiomyosarcoma in a patient who was treated with azathioprine for autoimmune hepatitis without cirrhosis.
CITATION STYLE
Abdallah, M., Saleh, M., Elgouhari, H., & Huntington, M. K. (2019). Development of Leiomyosarcoma in a Patient Treated with Azathioprine. South Dakota Medicine : The Journal of the South Dakota State Medical Association, 72(5), 214–216.
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