Renczyñska-Matysko Joanna, Marquardt-Feszler Adriana, Dêbska-Ślizieñ Alicja, Imko-Walczuk Beata
Dermatology Department, Copernicus, Independent Public Healthcare Centre, Gdansk, Poland.
Medical University of Gdansk, Gdansk, Poland.
Postepy Dermatol Alergol. 2022 Oct;39(5):823-828. doi: 10.5114/ada.2022.120878. Epub 2022 Nov 9.
The occurrence of neoplasms is one of the most common complications and second most frequent cause of death in organ transplant recipients (OTRs). The most frequently occurring neoplasms are skin cancers, predominantly squamous cell carcinoma (SCC). However, the ratio between SCC and basal cell carcinoma (BCC) in OTRs differs in several studies depending on the follow-up time, country, environment and other factors. In this population SCC has a more aggressive course with the presence of metastases and tends to have multifocal growth. The clinical and histopathological picture of SCC in OTRs differs from that observed in immunocompetent patients, which implicates tumour treatment and prognosis. The clinical features and distinctness which pertain to SCC in post-transplantation patients are described in this paper.
肿瘤的发生是器官移植受者(OTR)中最常见的并发症之一,也是第二大常见死因。最常发生的肿瘤是皮肤癌,主要是鳞状细胞癌(SCC)。然而,根据随访时间、国家、环境和其他因素,多项研究中OTR患者的SCC与基底细胞癌(BCC)的比例有所不同。在这一人群中,SCC病程更具侵袭性,会出现转移,且往往呈多灶性生长。OTR患者中SCC的临床和组织病理学表现与免疫功能正常患者中观察到的不同,这关系到肿瘤的治疗和预后。本文描述了移植后患者中SCC的临床特征及独特之处。