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Malignant and noninvasive skin tumours in renal transplant recipients.

Roche, CD; Dobson, JS; Williams, SK; Quante, M; Popoola, J; Chow, JW (2014) Malignant and noninvasive skin tumours in renal transplant recipients. Dermatology Research and Practice, 2014. ISSN 1687-6105 https://doi.org/10.1155/2014/409058
SGUL Authors: Popoola, Joyce

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Abstract

Background. Transplant recipients require immunosuppression to prevent graft rejection. This conveys an increased risk of malignancy, particularly skin tumours. There is a need for up-to-date data for the South of England. Method. Pathology records were reviewed for 709 kidney transplant recipients on immunosuppression at our hospital from 1995 to 2008. Skin tumours were recorded/analysed. Results. Mean age at transplant was 46 years. Mean length of follow-up was 7.2 years and total follow-up was 4926 person-years. 53 (7.5%) patients (39/458 (8.5%) males and 14/251 (5.6%) females) developed ≥1 skin malignancy. Cumulative incidences of 4.0%, 7.5%, and 12.2% were observed for those with <5, <10, and ≥10 years follow-up, respectively. The rate was 45 tumours per 1000 person-years at risk. Additionally, 21 patients (3.0%) only had noninvasive tumours. 221 malignant skin tumours were found: 50.2% were SCCs, 47.1% BCCs, and 2.7% malignant melanomas. Mean years to first tumour were 5.8. Mean number of tumours per patient was 4, with mean interval of 12 months. Conclusions. Despite changes in transplantation practice during the time since the last data were published in this region, these findings are similar to previous studies. This adds to the evidence allowing clinicians to inform patients in this region of their risk.

Item Type: Article
Additional Information: © 2014 Christopher D. Roche et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
SGUL Research Institute / Research Centre: Academic Structure > Institute of Medical & Biomedical Education (IMBE) > Centre for Clinical Education (INMECE )
Journal or Publication Title: Dermatology Research and Practice
Article Number: 409058
ISSN: 1687-6105
Language: eng
Dates:
DateEvent
14 September 2014Published
PubMed ID: 25302063
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/107329
Publisher's version: https://doi.org/10.1155/2014/409058

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