Systemic sclerosis & Raynaud's

Distinct Cancer Risk Profiles in Patients With Systemic Sclerosis With Autoantibody Stratification

Arthritis RheumatolPublished Multicentre retrospective cohort study

Main finding · 5-year cancer incidence (hematologic and solid-organ)Result — go to the resultHazard ratio 1.17 95% CI 1.11–1.23

Authors' conclusion

Patients with SSc demonstrate significantly increased risks for both hematologic and solid-organ cancers, with risk profiles varying by autoantibody status.

Study context

Population
Adults with systemic sclerosis (SSc) and matched controls with seborrheic keratosis, EMR from 128 health care organizations, 2014–2024; stratified by autoantibody status (RNA polymerase III, anticentromere, anti-Scl-70) when availableadults with SSc
Participants
66,637 adults
Exposure
SSc vs matched controls with seborrheic keratosis
  • SScn = 66,637
Outcome
Five-year incidences of hematologic and solid-organ cancers
Follow-up
Five years
Methodological detailsmatched controls, electronic medical records from 128 health care organizations, Cox proportional hazards regression
  • Matched controls
  • Electronic medical records from 128 health care organizations
  • Cox proportional hazards regression

Main finding

As reported in the abstract

5-year cancer incidence (hematologic and solid-organ) · 5 years

Hazard ratio

1.17

95% CI 1.11–1.23

SScvs Controls
HR 1.17 (95% CI 1.11–1.23)
Hematologic cancer, SSc vs controls: HR (95% CI 1.50-1.88), significantly increased
1.68
Solid-organ cancer, SSc vs controls: HR
1.23 (95% CI 1.16-1.31)

Observational data: associations, not effects.

Further findings

Specific hematologic cancers, SSc vs controls · 5 years

Multiple myeloma: HR
2.13 (95% CI 1.61-2.81)
Myelodysplastic syndromes: HR
2.03 (95% CI 1.49-2.77)

Specific solid-organ cancers, SSc vs controls · 5 years

Esophageal cancer (highest risk): HR
3.96 (95% CI 2.36-6.65)
Lung cancer: HR
2.32 (95% CI 2.00-2.69)

Cancer risk by autoantibody subgroup · 5 years

Anti-Scl-70 positive, overall cancer: HR
1.40 (95% CI 1.03-1.92)
RNA polymerase III positive, hematologic cancers: HR
2.20 (95% CI 1.10-4.28)
Anticentromere positive: no increased cancer risks

Original publication

Distinct Cancer Risk Profiles in Patients With Systemic Sclerosis With Autoantibody Stratification. Arthritis Rheumatol. Published 14 November 2025. doi:10.1002/art.43339

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