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Njurtransplanterade med maligna tumörer en växande patientgrupp
Engelsk titel: Kidney transplanted persons with malignant tumors is a growing patient group Läs online Författare: Hellström, Vivan ; Wilczek, Henryk ; Lorant, Tomas ; Nyberg, Filippa ; Tufveson, Gunnar ; Enblad, Gunilla ; Roussos, Jana Språk: Swe Antal referenser: 14 Dokumenttyp: Artikel UI-nummer: 12107451

Tidskrift

Läkartidningen 2012;109(39-40)1766-9 ISSN 0023-7205 E-ISSN 1652-7518 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

The incidence of malignant tumors in the organ transplanted population is increased 3-5 fold compared to the general population. The spectrum of tumors is different, the tumor growth is more aggressive and the prognosis is worse. In order to identify patients with post-transplant malignant tumors, the transplant registries in Stockholm, Uppsala and Gothenburg were cross run with the respective regional oncologic registries (ROC). It was found, that despite a generally good follow up, information about more than 50% of the malignant tumors is missing at the transplant centers. According to international guidelines this patient group should be evaluated by multidisciplinary teams consisting of transplant surgeons/nephrologists, oncologists and dermatologists with experience of transplantation to get optimal medical treatment. We would therefore like to emphasize the importance of referring all renal transplanted patients with malignant tumors to the transplant centers for multidisciplinary evaluation of the immunosuppressive as well as oncologic treatment.