Hidradenitis suppurativa (HS) is a chronic inflammatory disease, chiefly affecting apocrine gland–bearing skin.
1 Hidradenitis suppurativa is one of the most debilitating dermatologic conditions, and the association between HS and reductions in quality of life and psychosocial well-being has been widely reported.
2-5 Hidradenitis suppurativa is associated with severe comorbidities, which can lead to substantially reduced life expectancy.
6-10 While the pathogenesis of HS is unclear, several inflammatory cytokines, such as tumor necrosis factor (TNF), interferon-γ, interleukin (IL)-10, IL-12, IL-17, IL-23, and IL-32, as well as antimicrobial peptides LL-37, psoriasin, and β-defensins 2 and 3, may be factors in the development of the disease.
11-14 Specific genetic and environmental factors seem to contribute to the development and phenotype of HS.
11 The aberrant immune response and chronic inflammation in HS and genetic and environmental factors associated with the disease may all be factors in the development of cancer. The connection between HS and cancer has been suggested: a study of 2119 Swedish patients found that HS was associated with an approximate 50% increase in the relative risk of cancer.
15 Cases of nonmelanoma skin cancer complicating HS have also been reported.
16,17 Vulvar, perianal, and perineal cancer can develop in patients with HS.
18 An association between HS and lymphoma has also been reported recently.
19 However, there are limited large, population-based epidemiologic studies regarding the risks of overall and specific cancers among patients with HS. Thus, we conducted a nationwide, population-based study to determine the overall and specific cancer risks in patients with HS compared with the risks in patients without HS in the Republic of Korea.