KMID : 0361120020160020215
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Korean Journal of Transplantation 2002 Volume.16 No. 2 p.215 ~ p.218
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Malignancy in Renal Transplant Recipients
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Abstract
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Purpose: Survival rate after renal transplantation has increased in according to the prolonged graft survival due to a development of new immunosuppressive agents and operative techniques. Therefore, the develpment of malignancy in renal
transplant recipients has become the major cause of morbidity and mortality.
Methods: The retrospective analysis was performed in 4 patients with malignancy among the 315 patients who underwent kidney transplantation in our hospital from August 1990 to March 2001 and 1 patient with malignancy who underwent kidney
transplantation in other hospital and was followed up in our hospital.
Results: In five malignancy, 3 were adenocarcinoma in stomach, 1 lobular carcinoma in breast and 1 squamous cell carcinoma in uterine cervix. The mean age of these patients at diagnosis of malignancy was 48.4 (35¡60) and the average
interval
between renal transplantation and diagnosis of malignancy was 69.8 months. Surgical resection was done in all five patients. Chemotherapy was performed in 1 patients with advanced gastric cancer and 1 patient with breast cancer. Four patients are
now
alive and one patient was lost during follow-up period.
Conclusion: We reviewed the incidences and types of malignancy after renal transplantation in our hospital. Regular screening and careful surveillance are highly recommended in patients after renal transplantation.
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KEYWORD
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