Table 2 Estimation of cancer risk in IgG4-RD patients.

From: Increased cancer risk in patients with IgG4-related disease in a nationwide South Korean cohort, 2012–2021

Cancer (ICD-10 code)

Total (n = 1627, 4085.20 PY)

Men (n = 729, 2285.02 PY)

Women (n = 538, 1800.17 PY)

Observed a

Expected b

SIR (95% CI)

Observed

Expected

SIR (95% CI)

Observed

Expected

SIR (95% CI)

All cancer

147

35.7

4.12 (3.48–4.85)

83

24.1

3.45 (2.75–4.28)

64

11.6

5.51 (4.25–7.04)

Solid cancer (C00–C80)

110

33.0

3.33 (2.74–4.02)

63

22.2

2.83 (2.18–3.62)

47

10.8

4.36 (3.20–5.80)

Hepatobiliary cancer

         

Liver (C22)

10

2.4

4.18 (2.00-7.69)

8

2.0

3.97 (1.71–7.82)

2

0.4

5.31 (0.60-19.16)

Pancreas (C25)

16

1.1

14.54 (8.31–23.62)

11

0.8

14.57 (7.26–26.08)

5

0.3

14.48 (4.67–33.80)

Gallbladder/biliary tract (C23–C24)

12

1.0

11.85 (6.12–20.71)

8

0.7

10.99 (4.73–21.66)

4

0.3

14.05 (3.78–35.97)

Reproductive cancer

         

Breast (C50)

8

2.6

3.06 (1.32–6.02)

0

  

8

2.6

3.08 (1.33–6.07)

Ovary (C56)

2

0.3

6.85 (0.77–24.74)

NA

  

2

0.3

6.85 (0.77–24.74)

Cervix uterus (C53)

1

0.3

3.21 (0.04–17.87)

NA

  

1

0.3

3.21 (0.04–17.87)

Corpus uterus (C54)

1

0.4

2.80 (0.04–15.58

NA

  

1

0.4

2.8 (0.04–15.58)

Prostate (C61)

11

3.4

3.22 (1.60–5.76)

11

3.4

3.22 (1.60–5.76)

NA

  

Respiratory cancer

         

Lung (C33–C34)

7

4.8

1.46 (0.58-3.00)

6

3.9

1.54 (0.56–3.36)

1

0.9

1.09 (0.01–6.09)

Lip, oral cavity, and pharynx (C00–C14)

1

0.6

1.69 (0.02–9.40)

0

  

1

0.1

9.42 (0.12–52.40)

Gastrointestinal cancer

         

Stomach (C16)

10

4.5

2.23 (1.07–4.10)

5

3.6

1.40 (0.45–3.28)

5

0.9

5.40 (1.74–12.59)

Colon and rectum (C18–C20)

13

4.1

3.15 (1.68–5.39)

6

3.0

1.98 (0.72–4.32)

7

1.1

6.37 (2.55–13.12)

Urinary cancer

         

Kidney (C64)

2

0.9

2.31 (0.26–8.35)

1

0.7

1.48 (0.02–8.26)

1

0.2

5.24 (0.07–29.14)

Bladder (C67)

6

0.8

7.38 (2.69–16.06)

5

0.7

6.80 (2.19–15.86)

1

0.1

12.90 (0.17–71.80)

Skin cancer

         

Melanoma (C43)

1

0.1

12.11 (0.16–67.35)

1

0.1

18.32 (0.24-101.94)

0

  

Non-melanoma of the skin (C44)

1

0.8

1.30 (0.02–7.22)

1

0.5

2.06 (0.03–11.44)

   

Other

         

Thyroid (C73)

4

3.0

1.33 (0.36–3.41)

1

0.8

1.19 (0.02–6.60)

3

2.2

1.39 (0.28–4.06)

Central nervous system (C70–C72)

3

0.2

13.32 (2.68–38.93)

3

0.1

20.12 (4.04–58.77)

0

  

Hematological cancer (C81–C86, C90–C96, D46, D47.1)

28

1.8

15.31 (10.17–22.13)

14

1.3

10.98 (6.00-18.43)

14

0.6

25.28 (13.81–42.41)

MDS (D46)

10

0.2

49.46 (23.68–90.97)

3

0.2

19.57 (3.93–57.19)

7

0.0

143.16 (57.36-294.99)

Non-Hodgkin lymphoma (C82–C86, C96)

14

0.7

19.95 (10.90-33.47)

10

0.5

20.25 (9.70-37.25)

4

0.2

19.23 (5.17–49.23)

Multiple myeloma (C90)

3

0.3

11.13 (2.24–32.51)

1

0.2

5.38 (0.07–29.91)

2

0.1

23.93 (2.69–86.39)

Leukemia (C91–C95)

1

0.4

2.39 (0.03–13.31)

0

  

1

0.1

7.40 (0.10-41.19)

  1. a Observed cancer cases.
  2. b Expected cancer cases were calculated by age-specific and gender-specific estimates of the general population in South Korea 2019.
  3. IgG4-RD, IgG4 related disease; ICD, International classification of diseases; PY, person-year; SIR, standardized incidence ratio; CI, confidence intervals; MDS, myelodysplastic syndrome; NA, not available.