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De novo cancer occurrence after renal transplantation: a medical center experience in Taiwan.

Abstract：

INTRODUCTION:Renal transplantation has been advocated as the treatment of choice for end-stage renal disease. Organ transplantation increases the incidence of cancer through unclear mechanisms. A literature review showed that the most common neoplasms are of skin origin, which are uncommon in Eastern people. We reviewed cancer patterns in our renal transplant series. MATERIALS AND METHODS:From July 1981 to December 2002, among 560 renal transplantations performed in this hospital, we retrospectively surveyed cancer incidence, types, and usage of immunosuppressants. RESULTS:Twenty nine cancer cases 5.18% (incidence) included hepatocellular carcinoma (HCC) as the highest mortality rate (9 of 13 cases). Eight of these 13 cases were hepatitis B carriers. All four hepatitis C carriers expired three of them with unresectable multinodular tumors at diagnosis in Posttransplantation lymphoproliferative disorder (PTLD) was the second most common cancer (seven cases); all but one survived with reduced doses of or changes in immunosuppressants. No skin cancer other than four Kaposi's sarcomas with skin manifestations was detected in our series. DISCUSSIONS:HCC was the main cancer in our series. Accepting hepatitis B carriers as candidates for renal recipients and donors may be one of the causes. PTLD was the second most common cancer, while there were no skin cancers.

journal_name

Transplant Proc

journal_title

Transplantation proceedings

authors

Chiang YJ,Chen CH,Wu CT,Chu SH,Chen Y,Liu KL,Chen SW,Chuang CK

doi

10.1016/j.transproceed.2004.08.013

subject

Has Abstract

pub_date

2004-09-01 00:00:00

pages

2150-1

issue

7

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(04)00868-1

journal_volume

36

pub_type

杂志文章

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