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Accrual of non‐melanoma skin cancer in renal‐transplant recipients: Experience of a V ictorian tertiary referral institution
Author(s) -
Ng Jonathan C,
Cumming Simon,
Leung Vivian,
Chong Alvin H
Publication year - 2014
Publication title -
australasian journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.67
H-Index - 53
eISSN - 1440-0960
pISSN - 0004-8380
DOI - 10.1111/ajd.12072
Subject(s) - medicine , skin cancer , basal cell carcinoma , immunosuppression , transplantation , cancer , surgery , dermatology , basal cell
Background Cutaneous carcinogenesis is increased in immunosuppressed organ transplant recipients ( OTR ). Tumour accrual is a useful measure for the rate of cutaneous carcinogenesis. There are few studies in tumour accrual rates in OTR in A ustralia. Methods This was a prospective study of renal transplant recipients in a single tertiary referral centre over 5 years (60 months). Outcome measures included tumour accrual, and numbers of skin cancers according to clinical risk factors (age, sex, anatomical location, skin phototype, duration of immunosuppression, history of graft rejection, acitretin use, occupational sun exposure and family history of skin cancer). Results A total of 142 patients were included in the study, with a median follow‐up duration of 1.9 years. Of these patients, 53 (37%) developed a total of 341 invasive non‐melanoma skin cancers ( NMSC ) (253 squamous cell carcinoma [ SCC ] and 88 basal cell carcinoma [ BCC ]) over the study period. Accrual for SCC and BCC were 0.89 SCC/patient per year and 0.31 BCC/patient per year, respectively. The overall NMSC accrual was 1.20 NMSC/patient per year. SCC accrual increased with the duration of immunosuppression. NMSC accrual increased with a history of graft rejection. Conclusions The current study provides prospective, histologically verified and quantitative evidence for the increase of cutaneous carcinogenesis in renal transplant recipients in V ictoria, A ustralia.