Squamous cell cancer in renal transplant recipients: a real threat?


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Resumo

Immunosuppressive therapy after solid organ transplantation significantly increases the risk of developing cancer compared with the general population. we present our own observation of a severe course of metastatic squamous cell skin cancer in a patient with satisfactory graft function io years after cadaveric kidney transplantation, who standard 3-component immunosuppression. despite surgical treatment and a course of radiation, the disease was accompanied by rapid progression and death. Long-term immunosuppressive therapy after kidney transplantation significantly increases the likelihood of developing malignant skin tumors. however, the risk increases significantly over time. therefore, dermatological examinations should be included in the management protocol for renal transplant recipients in order to detect the disease earlier, with particular attention to patients with more than ten years of immunosuppression. if squamous cell skin cancer is confirmed, continued immunosuppressive therapy is associated with a high risk of progression and fatal outcome of the disease.

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Sobre autores

Dmitry Perlin

Volgograd Regional Uronephrological Center

Email: dvperlin@mail.ru
Dr.Sci. (Med.), Professor, Chief Physician Volgograd Region, Volzhsky, Russia

Ivan Dymkov

Volgograd Regional Uronephrological Center

Cand. Sci. (Med.), Deputy Chief Physician Volgograd Region, Volzhsky, Russia

Shamil Shamkhalov

Volgograd Regional Uronephrological Center

Urologist, Department of Urology Volgograd Region, Volzhsky, Russia

Anastasia Perlina

M.F. Vladimirsky Moscow Regional Research and Clinical Institute

Dermatovenereologist, Department of Telemedicine Technologies Moscow, Russia

Pavel Kulikov

Volgograd Regional Uronephrological Center

Urologist, Department of Urology Volgograd Region, Volzhsky, Russia

Bibliografia

  1. Imko-Walczuk B. The assessment of the risk of cancer and their possi- ble prevention in patients after kidney transplantation. Doctoral thesis. Gdansk, Poland; 2009. http://pbc.gda.pl/dlibra/doccontent?id=4847&from=FBC. Polish.
  2. Казанцева И.А., Гуревич Л.Е., Бобров M.A. Редкие клинические наблюдения «комбинированных» карцином кожи у реципиентов аллотрансплантата трупной почки. Альманах клинической медицины. 2018;4(46):367-73.
  3. Ватазин А.В., Дутов В.В., Зулькарнаев А.Б. и др. Инфекционные осложнения после трансплантации почки. Урология. 2013;3:107-11.
  4. Bernat Garcia J., Morales Suàrez-Varela M., Vilata J.J., et al. Risk factors for nonmelanoma skin cancer in kidney transplant patients in a Spanish population in the Mediterranean region. Acta Derm. Venerol. 2013;93:422-27. doi: 10.2340/00015555-1525.
  5. Etzkorn J.R., Parikh R.P., Marzan S.S., et al. Identifying risk factors using a skin cancer screening program. Cancer Control. 2013;20:248-54. doi: 10.1177/107327481302000402.
  6. Moloney F.J., Comber H., O’Lorcain P., et al. A population-based study of skin cancer incidence and prevalence in renal transplant recipients. Br. J. Dermatol. 2006 154:498-504.
  7. Urwin H.R., Jones P.W., Harden P.N., et al. Predicting risk of non-melanoma skin cancer and premalignant skin lesions in renal transplant recipients. Transplantat. 2009;87:1667-71. doi: 10.1097/TP.0b013e3181a5ce2e.
  8. Kauffmann H.M., Cherikh W.S., McBride M.A., et al. Posttransplant de novo malignancies in renal transplant recipients: the past and present. Transplant.Int. 2006;19:607-19. doi: 10.1111/j.1432-2277.2006.00330.
  9. Mudigona T., Levendor M.M., O’Neill J.L., et al. Incidence, risk factors, and preventive management of skin cancers in organ transplant recipients: a review of single- and multicenter retrospective studiem from 2006 to 2010. Dermatol. Surg. 2013;39:345-64.

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