Postrenal transplant malignancy: An update for clinicians

When compared to the general population, solid organ transplant patients had a 2–3 times higher overall risk of cancer. The third most frequent cause of mortality in kidney transplant patients is posttransplant malignancy, with certain malignancies (melanoma, renal cell carcinoma, and posttransplant...

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Main Authors: Renuka Soni, Priyadarshi Ranjan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Indian Journal of Transplantation
Subjects:
Online Access:http://www.ijtonline.in/article.asp?issn=2212-0017;year=2023;volume=17;issue=4;spage=389;epage=396;aulast=Soni
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author Renuka Soni
Priyadarshi Ranjan
author_facet Renuka Soni
Priyadarshi Ranjan
author_sort Renuka Soni
collection DOAJ
description When compared to the general population, solid organ transplant patients had a 2–3 times higher overall risk of cancer. The third most frequent cause of mortality in kidney transplant patients is posttransplant malignancy, with certain malignancies (melanoma, renal cell carcinoma, and posttransplant lymphoproliferative disease) occurring at significantly greater rates than in the general population. Longer lifespans for kidney transplant recipients necessitate close monitoring for posttransplant cancer. Immunosuppressant medicine and oncogenic infections appear to be significant factors in the development of cancer. With the existing arsenal of pharmacotherapy and the possibility for immunologic surveillance in the future, posttransplant treatment might be tailored to reduce the risk of posttransplant malignancy without affecting graft survival. This manuscript gives an outline of the occurrence, causative factors, surveillance, diagnosis, and treatment of posttransplant malignancy. The review focuses on the most prevalent cancers and the patients who are most at risk of developing them, including an overview of pathogenesis, the association of immunosuppressive medications with the development of cancer, and several proposed processes that explain why transplant recipients have a higher cancer risk.
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spelling doaj.art-f9b817343d8a4a5387ae20d5576c6f622024-03-25T14:41:57ZengWolters Kluwer Medknow PublicationsIndian Journal of Transplantation2212-00172212-00252023-01-0117438939610.4103/ijot.ijot_60_23Postrenal transplant malignancy: An update for cliniciansRenuka SoniPriyadarshi RanjanWhen compared to the general population, solid organ transplant patients had a 2–3 times higher overall risk of cancer. The third most frequent cause of mortality in kidney transplant patients is posttransplant malignancy, with certain malignancies (melanoma, renal cell carcinoma, and posttransplant lymphoproliferative disease) occurring at significantly greater rates than in the general population. Longer lifespans for kidney transplant recipients necessitate close monitoring for posttransplant cancer. Immunosuppressant medicine and oncogenic infections appear to be significant factors in the development of cancer. With the existing arsenal of pharmacotherapy and the possibility for immunologic surveillance in the future, posttransplant treatment might be tailored to reduce the risk of posttransplant malignancy without affecting graft survival. This manuscript gives an outline of the occurrence, causative factors, surveillance, diagnosis, and treatment of posttransplant malignancy. The review focuses on the most prevalent cancers and the patients who are most at risk of developing them, including an overview of pathogenesis, the association of immunosuppressive medications with the development of cancer, and several proposed processes that explain why transplant recipients have a higher cancer risk.http://www.ijtonline.in/article.asp?issn=2212-0017;year=2023;volume=17;issue=4;spage=389;epage=396;aulast=Soniimmunosuppressionkaposi sarcomakidney transplantposttransplant lymphoproliferative diseaseposttransplant malignancyrenal cell carcinoma
spellingShingle Renuka Soni
Priyadarshi Ranjan
Postrenal transplant malignancy: An update for clinicians
Indian Journal of Transplantation
immunosuppression
kaposi sarcoma
kidney transplant
posttransplant lymphoproliferative disease
posttransplant malignancy
renal cell carcinoma
title Postrenal transplant malignancy: An update for clinicians
title_full Postrenal transplant malignancy: An update for clinicians
title_fullStr Postrenal transplant malignancy: An update for clinicians
title_full_unstemmed Postrenal transplant malignancy: An update for clinicians
title_short Postrenal transplant malignancy: An update for clinicians
title_sort postrenal transplant malignancy an update for clinicians
topic immunosuppression
kaposi sarcoma
kidney transplant
posttransplant lymphoproliferative disease
posttransplant malignancy
renal cell carcinoma
url http://www.ijtonline.in/article.asp?issn=2212-0017;year=2023;volume=17;issue=4;spage=389;epage=396;aulast=Soni
work_keys_str_mv AT renukasoni postrenaltransplantmalignancyanupdateforclinicians
AT priyadarshiranjan postrenaltransplantmalignancyanupdateforclinicians