The incidence and risk factors of de novo skin cancer in the liver transplant recipients.

作者: N N Zein , D Dalal , R Lopez , I A Hanouneh , M Pagadala

DOI:

关键词:

摘要: Background: Liver transplantation (LT) increases the risk of de novo malignancies including skin cancers. However, factors for this type cancers have not been well studied. Objective: To determine incidence cancer in LT recipients, and to identify cancer. Methods: We identified all adult patients who underwent developed post-LT at our institution between 1996 2009. excluded with history prior LT. also studied a control group during same period but did develop cancer; was matched (1:2) age, gender geographical place residence. Results: Over median (IQR) follow-up 41.5 (18.0, 98.6) months, 23 (2.3%) 998 post-LT, whom 10 were squamous cell carcinoma, 9 basal carcinoma 4 melanoma. After adjusting confounding variables, subjects had combined liver/kidney transplant 22 (95% CI: 5.1–99) times higher hazard compared alone. Furthermore, non-skin 8.6–60) developing after transplant. Patients alcohol consumption, as underlying etiology liver disease, 1.2–12.9) transplantation. Type or duration immunosuppression associated increased post-LT. The survival outcome affected by development post-LT. Conclusion: Skin is relatively common recipients should be monitored, particularly pretransplant malignancy, kidney having alcoholic cirrhosis cause disease.

参考文章(26)
I Penn, THE CHANGING PATTERN OF POSTTRANSPLANT MALIGNANCIES International congress of the transplantation society. ,vol. 23, pp. 1101- 1103 ,(1991)
L. Tallón Aguilar, L. Barrera Pulido, C. Bernal Bellido, F. Pareja Ciuró, G. Suárez Artacho, J.M. Álamo Martínez, I. García González, M.A. Gómez Bravo, A. Bernardos Rodríguez, Causes and Predisposing Factors of De Novo Tumors in Our Series of Liver Transplant Recipients ANNUAL MEETING OF THE MADRID TRANSPLANTATION SOCIETY. ,vol. 41, pp. 2453- 2454 ,(2009) , 10.1016/J.TRANSPROCEED.2009.05.012
Gianni Gerlini, Paolo Romagnoli, Nicola Pimpinelli, Skin cancer and immunosuppression. Critical Reviews in Oncology Hematology. ,vol. 56, pp. 127- 136 ,(2005) , 10.1016/J.CRITREVONC.2004.11.011
J.F. Buell, M.J. Hanaway, M. Thomas, R.R. Alloway, E.S. Woodle, Skin Cancer Following Transplantation: The Israel Penn International Transplant Tumor Registry Experience Transplantation Proceedings. ,vol. 37, pp. 962- 963 ,(2005) , 10.1016/J.TRANSPROCEED.2004.12.062
Christophe Duvoux, Isabelle Delacroix, Jean-Philippe Richardet, Fran??oise Roudot-Thoraval, Jean-Michel M??treau, Pierre Louis Fagniez, Daniel Dhumeaux, Daniel Cherqui, Increased incidence of oropharyngeal squamous cell carcinomas after liver transplantation for alcoholic cirrhosis. Transplantation. ,vol. 67, pp. 418- 421 ,(1999) , 10.1097/00007890-199902150-00014
Christine G Gourin, David J Terris, Head and neck cancer in transplant recipients. Current Opinion in Otolaryngology & Head and Neck Surgery. ,vol. 12, pp. 122- 126 ,(2004) , 10.1097/00020840-200404000-00012
Ilana Feuerstein, Alan C. Geller, Skin Cancer Education in Transplant Recipients Progress in Transplantation. ,vol. 18, pp. 232- 242 ,(2008) , 10.1177/152692480801800405
Sylvie Euvrard, Jean Kanitakis, Claire Pouteil-Noble, Georges Dureau, Jean Louis Touraine, Michel Faure, Alain Claudy, Jean Thivolet, Comparative epidemiologic study of premalignant and malignant epithelial cutaneous lesions developing after kidney and heart transplantation. Journal of The American Academy of Dermatology. ,vol. 33, pp. 222- 229 ,(1995) , 10.1016/0190-9622(95)90239-2
Ashokkumar Jain, Jorge Reyes, Randeep Kashyap, Susan Rohal, Kareem Abu-Elmagd, Thomas Starzl, John Fung, What Have We Learned About Primary Liver Transplantation Under Tacrolimus Immunosuppression?: Long-Term Follow-up of the First 1000 Patients Annals of Surgery. ,vol. 230, pp. 441- 449 ,(1999) , 10.1097/00000658-199909000-00016