Summary
The frequency of malignant diseases among 1866 living and 340 deceased multiple sclerosis (MS) patients was investigated in Finland. The study revealed a low prevalence (0.64%) and mortality (0.07%) rate of cancer among MS patients. The difference between MS patients and general population was significant. The highest rate was found in the group from 40 to 49 years while in the general population the rate of cancer among MS patients tended to fall after the age of 50. The possible role of selenium, one of the antioxidants in the pathogenesis of MS and cancer, is discussed because recent data have shown a very high negative correlation between selenium and cancer death rates.
Zusammenfassung
Die Malignomenfrequenz bei 1866 lebenden und 340 verstorbenen Multiple-Sklerose (MS)-Patienten wurde in Finnland untersucht. Dabei wurde eine niedrige Prävalenz-(0.64%) und Mortalitätsrate (0.07%) für Karzinom ermittelt. Der Unterschied zwischen den MS-Patienten und der Normalbevölkerung war signifikant. Die höchste Inzidenzrate war in der Altersgruppe von 40 bis 49 Jahren festzustellen. Anders wie bei der Normalbevölkerung nahm bei den MS-Patienten die Karzinomfrequenz nach dem fünfzigsten Lebensjahr ständig ab. Die mögliche Rolle Seleniums, eines Antioxydants, in der Pathogenese von MS und Karzinom wurde diskutiert, denn neue Ergebnisse haben eine hohe negative Korrelation zwischen Selenium und Karzinommortalität erwiesen.
Similar content being viewed by others
References
Anderson, T. W.: Nutritional muscular dystrophy and human myocardial infarction. Lancet 1973 II, 298–302
Clausen, J., Fog, T., Hansen, I. B.: Myelin constituents in multiple sclerosis. In: Progress in Multiple Sclerosis (ed. U. Leibowitz), pp. 60–75. New York-London: Academic Press 1972
Duchesne, J.: Radicaux libres organiques, antioxydants, sénescence, longévité maximale et cancer. Bull. Acad. Royale Belg. 61, 633–639 (1975)
Duchesne, J.: A unifying biochemical theory of cancer, senescence and maximal life span. J. theor. Biol. 66, 137–145 (1977)
Maretschek, M., Schaltenbrand, G., Seibert, P.: Statistische Untersuchungen über die Multiple Sklerose an Hand von 947 Sektionsprotokollen. Dtsch. Z. Nervenheilk. 172, 287–308 (1954)
Milla, J. H. D., Zilkha, K. J., Langman, M. J. S., Payling Wright, H., Smith, A. D., Belin, J., Thompson, R. H. S.: A double-blind trial of linoleate supplementation of the diet in multiple sclerosis. Brit. Med. J. 1973 I, 765–768
Palo, J., Wikström, J., Kivalo, E.: Epidemiology of nutritional muscular dystrophy and multiple sclerosis. Lancet 1973 II, 848
Schumacher, G. A., Beebe, G., Kibler, R. F., Kurland, L. T., Kurtzke, J. F., McDowell, F., Nagler, B., Sibley, W. A., Tourtelotte, W. W., Willmon, T. L.: Problems of experimental trials of therapy in multiple sclerosis: report by the panel of the evaluation of experimental trials of therapy in multiple sclerosis. Ann. N. Y. Acad. Sci. 122, 552–568 (1965)
Shamberger, R. J., Frost, D. V.: Possible protective effect of selenium against human cancer. Can. Med. Assn. J. 100, 682 (1969)
Swank, R. L., Lerstad, O., Ström, A., Backer, J.: Multiple sclerosis in rurral Norway. Its geographic and occupational incidence in relation to nutrition. New Engl. J. Med. 246, 721–728 (1952)
Teppo, L., Hakama, M., Hakulinen, T., Lehtonen, M., Saxén, E.: Cancer in Finland 1953–1970: incidence, mortality, prevalence. Acta path. microbiol. scand. Sect. A Suppl. 252, 1–79 (1975)
Wikström, J.: The epidemiology of multiple sclerosis and tuberculosis in Finland. Acta neurol. scand. 52, 207–215 (1975)
Wikström, J., Palo, J.: Studies on the clustering of multiple sclerosis in Finland I: comparison between the domiciles and places of birth in selected subpopulations. Acta neurol. scand. 51, 85–98 (1975)
Wikström, J., Westermarck, T., Palo, J.: Selenium, vitamin E and copper in multiple sclerosis. Acta neurol. scand. 54, 287–290 (1976)
Wolfgram, F.: Similar geographical distribution of multiple sclerosis and cancer of the colon. Acta neurol. scand. 52, 294–302 (1975)
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Palo, J., Duchesne, J. & Wikström, J. Malignant diseases among patients with multiple sclerosis. J. Neurol. 216, 217–222 (1977). https://doi.org/10.1007/BF00313623
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00313623