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肾移植患者中的无色素性黑色素瘤：一例罕见病例报告。

Amelanotic melanoma in a kidney transplant patient: a rare case report.

作者信息

Melhem Yara, Khattab Seham, Al-Janabi Moatasem Hussein, Saeid Hussein, Ahmad Issa, Hasan Fouz

机构信息

Department of Dermatology, Tishreen University Hospital, Lattakia, Syria.

Department of Pathology, Cancer Research Center, Tishreen University Hospital, Lattakia, Syria.

出版信息

Oxf Med Case Reports. 2024 Apr 25;2024(4):omae035. doi: 10.1093/omcr/omae035. eCollection 2024 Apr.

DOI:10.1093/omcr/omae035
PMID:38680765
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11049583/
Abstract

Immunosuppressed individuals face a significantly elevated risk of developing aggressive cutaneous malignancies, often surpassing the aggressiveness observed in immunocompetent counterparts. Our patient exhibited several risk factors associated with melanoma development in renal recipients, including skin type, sun exposure, and the duration of immunosuppression. The determination of staging holds paramount importance as it directly influences both prognosis and subsequent management. It is crucial to handle suspected lesions with caution in these patients to facilitate early melanoma detection and enhance overall prognosis.

摘要

免疫抑制个体发生侵袭性皮肤恶性肿瘤的风险显著升高，其侵袭性往往超过免疫功能正常者。我们的患者表现出了肾移植受者中与黑色素瘤发生相关的几个风险因素，包括皮肤类型、阳光暴露和免疫抑制持续时间。分期的确定至关重要，因为它直接影响预后和后续治疗。在这些患者中谨慎处理可疑病变对于促进黑色素瘤的早期发现和改善总体预后至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cd9/11049583/1d3520af5ef9/omae035f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cd9/11049583/2e7184fd8219/omae035f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cd9/11049583/d41621c262cd/omae035f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cd9/11049583/fa712ee0078d/omae035f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cd9/11049583/1d3520af5ef9/omae035f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cd9/11049583/2e7184fd8219/omae035f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cd9/11049583/d41621c262cd/omae035f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cd9/11049583/fa712ee0078d/omae035f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cd9/11049583/1d3520af5ef9/omae035f4.jpg

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本文引用的文献

1
Skin cancer outcomes and risk factors in renal transplant recipients: Analysis of organ procurement and transplantation network data from 2000 to 2021.肾移植受者的皮肤癌结局与危险因素：对2000年至2021年器官获取与移植网络数据的分析
Front Oncol. 2022 Nov 24;12:1017498. doi: 10.3389/fonc.2022.1017498. eCollection 2022.
2
Consensus recommendations for use of maintenance immunosuppression in solid organ transplantation: Endorsed by the American College of Clinical Pharmacy, American Society of Transplantation, and the International Society for Heart and Lung Transplantation.实体器官移植中维持免疫抑制使用的共识建议：得到了美国临床药学学院、美国移植学会和国际心肺移植学会的认可。
Pharmacotherapy. 2022 Aug;42(8):599-633. doi: 10.1002/phar.2716.
3
Melanoma in Solid Organ Transplant Recipients.实体器官移植受者的黑色素瘤。
Actas Dermosifiliogr (Engl Ed). 2021 Mar;112(3):216-224. doi: 10.1016/j.ad.2020.11.005. Epub 2020 Nov 13.
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Skin Cancer and Immunosuppression.皮肤癌与免疫抑制
Dermatol Clin. 2019 Jan;37(1):83-94. doi: 10.1016/j.det.2018.07.009. Epub 2018 Nov 1.
5
Risk Factors for Melanoma in Renal Transplant Recipients.肾移植受者黑色素瘤的危险因素
JAMA Dermatol. 2017 Nov 1;153(11):1130-1136. doi: 10.1001/jamadermatol.2017.2291.
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[Skin cancers in kidney transplant recipients].[肾移植受者中的皮肤癌]
Wiad Lek. 2017;70(1):68-73.
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Skin cancer in solid organ transplant recipients: are mTOR inhibitors a game changer?实体器官移植受者的皮肤癌：mTOR抑制剂会是一个改变局面的因素吗？
Transplant Res. 2015 Jan 14;4:1. doi: 10.1186/s13737-014-0022-4. eCollection 2015.
8
Dermatoscopy of amelanotic and hypomelanotic melanoma.无色素性和色素减退性黑色素瘤的皮肤镜检查
J Dtsch Dermatol Ges. 2014 Jun;12(6):467-72. doi: 10.1111/ddg.12368. Epub 2014 May 14.
9
Melanoma in organ transplant recipients: incidence, outcomes and management considerations.器官移植受者中的黑色素瘤：发病率、结局及管理考量
J Skin Cancer. 2012;2012:404615. doi: 10.1155/2012/404615. Epub 2012 Nov 25.
10
Nodular amelanotic melanoma.结节性无黑色素性黑素瘤。
Indian J Dermatol Venereol Leprol. 2010 May-Jun;76(3):273-5. doi: 10.4103/0378-6323.62972.