Tunçer Vural Ayşe, Karataş Toğral Arzu, Kırnap Mahir, Güleç A Tülin, Haberal Mehmet
Department of Dermatology, Baskent University Faculty of Medicine, Ankara, Turkey.
Exp Clin Transplant. 2018 Mar;16 Suppl 1(Suppl 1):203-207. doi: 10.6002/ect.TOND-TDTD2017.P65.
Solid-organ transplant recipients are at an increased risk of developing skin cancer; this risk is due to long-term graft-preserving immunosuppressive therapy, and excessive sun exposure is a major contributing factor to this process. The aim of this study was to evaluate the skin cancer awareness and sun-protective behavior of solid-organ transplant recipients.
In all, 70 consecutive solid-organ transplant recipients were evaluated regarding knowledge of their increased skin cancer risk and regarding the influence of this knowledge on their sun-protective practices, by applying a questionnaire during their routine check-up visits.
Of 70 solid-organ transplant recipients, 38 (54.3%) stated knowledge of hazardous consequences of sun exposure; however, only 28 (40%) had the knowledge of causal relationship between sun and skin cancer development. There were 31 patients (44.3%) who were unable to recall anybody giving any information to them about sun protection, and 40 patients (57.1%) had never visited a dermatology clinic. The 10 solid-organ transplant recipients (14.3%) who used sunscreen creams daily had been undergoing regular dermatologic examination. Regarding sun-protective clothing, only 8 patients (11.4%) had been wearing a suitable hat, long sleeves, and sunglasses when outdoors. There was a statistically significant difference between the groups who had visited a dermatology clinic versus those who had not regarding knowledge of sun protection, the causal relationship between sun exposure and skin cancer, the use of sunscreens, and use of sun-protective clothing (P < .05).
Our data showed that dermatologic examination and education of patients about skin cancer development and sunscreen measures improved the sun-protective habits of solid-organ transplant recipients. Therefore, orderly visits once or twice a year should be strongly advised for this patient population by their medical care providers.
实体器官移植受者患皮肤癌的风险增加；这种风险归因于长期用于维持移植器官的免疫抑制治疗，而过度日晒是这一过程的主要促成因素。本研究的目的是评估实体器官移植受者对皮肤癌的认知及防晒行为。
在70例连续的实体器官移植受者进行常规检查时，通过问卷调查评估他们对自身皮肤癌风险增加的知晓情况，以及该认知对其防晒措施的影响。
在70例实体器官移植受者中，38例（54.3%）表示知晓日晒的有害后果；然而，只有28例（40%）了解日晒与皮肤癌发生之间的因果关系。有31例患者（44.3%）无法回忆起有人向他们提供过任何有关防晒的信息，40例患者（57.1%）从未去过皮肤科诊所。10例每天使用防晒霜的实体器官移植受者（14.3%）一直在接受定期皮肤科检查。关于防晒服装，只有8例患者（11.4%）在户外时会佩戴合适的帽子、长袖衣物和太阳镜。在是否去过皮肤科诊所的两组患者之间，在防晒知识、日晒与皮肤癌的因果关系、防晒霜使用及防晒服装使用方面存在统计学显著差异（P < 0.05）。
我们的数据表明，对患者进行皮肤癌发生及防晒措施方面的皮肤科检查和教育可改善实体器官移植受者的防晒习惯。因此，医疗服务提供者应强烈建议该患者群体每年有序就诊一到两次。
