Is there an increased risk of cancer in autoimmune myasthenia gravis?

Israeli researchers have investigated the risk of developing cancers other than thymoma in patients with autoimmune myasthenia gravis:

  • data on 1,558 adults with myasthenia gravis were extracted from the Israeli Clalit health database, then compiled and compared with those of a control group;
  • this group of patients had a higher rate of cancers (leukaemia or solid tumours combined) than the general population, both before and after the diagnosis and treatment of their myasthenia,
  • lung cancers were the most common,
  • risk factors included age, male gender and the presence of a thymoma,
  • conversely, immunosuppressive treatments did not appear to influence tumour risk.

These findings should encourage earlier screening for cancer risk in patients with myasthenia gravis.

 

Increased Prevalence of Extrathymic Neoplasms in Myasthenia Gravis Patients-A Population-Based, Matched Case-Control Study. Pardo K, Kab T, Hellmann MA et al. Muscle Nerve. 2026 Mar.