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肾移植受者中的“新发”恶性肿瘤

["De novo" malignant tumors in kidney transplant receptors].

作者信息

Robles J E, Aguera L G, Rosell D, Abad J I, Rodríguez-Rubio F I, Zudaire J J, Errasti P, Berian J M

机构信息

Departamento de Urología, Clínica Universitaria, Facultad de Medicina, Universidad de Navarra, Pamplona.

出版信息

Actas Urol Esp. 1994 Apr;18(4):266-70.

PMID:7976711
Abstract

Presentation of the "de novo" tumours developed in two series of renal transplant receptors over the last 16 years. The first series, Historic, comprises the group of 178 patients who were given Azathioprin or Cyclophosphamide plus Prednisone for immunosuppression. The second series, Current, includes 129 patients who received immunosuppressive therapy with Cyclosporin A. Overall incidence of these "de novo" malignant tumours was 4% (13/307), 9 of which corresponded to the Historic Series (incidence, 5%) and 4 to the Current Series (incidence, 3%). Mean time interval from transplantation to diagnosis was 87.3 months (range, 9-177) in the Historic Series and 34.5 (range, 8-67) in the Current Series, the difference being statistically significant (p = 0.02). By locations, skin and lip tumours represent 38.5%, followed in frequency by lymphoma (23%) and lung carcinoma (15%). No urological tumours were recorded.

摘要

过去16年中两组肾移植受体发生的“新发”肿瘤情况。第一组为历史组,包括178例接受硫唑嘌呤或环磷酰胺加泼尼松免疫抑制治疗的患者。第二组为当前组,包括129例接受环孢素A免疫抑制治疗的患者。这些“新发”恶性肿瘤的总发病率为4%(13/307),其中9例属于历史组(发病率5%),4例属于当前组(发病率3%)。历史组从移植到诊断的平均时间间隔为87.3个月(范围9 - 177个月),当前组为34.5个月(范围8 - 67个月),差异具有统计学意义(p = 0.02)。按部位划分,皮肤和唇部肿瘤占38.5%,其次是淋巴瘤(23%)和肺癌(15%)。未记录到泌尿系统肿瘤。

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