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Cancer in the Kidney Transplant Recipient

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Onconephrology

Abstract

Renal transplantation is the optimal treatment for end stage kidney disease (ESKD). Prolonged immunosuppression in transplant patients has led to a number of posttransplant complications including malignancy. In fact malignancy is the third most common cause of mortality posttransplantation. In this chapter, we discuss the epidemiology and pathogenesis of posttransplant malignancy, with a focus on malignancies that are more prominent posttransplant. In addition, we briefly discuss the donor-derived malignancies and the challenges of transplanting patients with a history of malignancy.

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Abbreviations

ACKD:

Acquired cystic kidney disease

AJCC:

American Joint Committee on Cancer

AK:

Actinic keratosis

BCC:

Basal cell cancer

BM:

Bone marrow

CNI:

Calcineurin inhibitors

CNS:

Central nervous system

EAR:

Excess absolute risk

ED&C:

Electrodessication with curettage

EGFR:

Epidermal growth factor receptor

ESKD:

End stage kidney disease

GPCR:

G protein cellular receptor

HHV:

Human herpes virus

HIV:

Human immunodeficiency virus

HPV:

Human papilloma virus

KDIGO:

Kidney disease improving global outcomes

KS:

Kaposi’s sarcoma

LCDD:

Light chain deposition disease

LMP:

Latent membrane protein

MGUS:

Monoclonal gammopathy of undetermined significance

MHC:

Major histocompatibility complex

mTOR:

Mammalian target of rapamycin

PET:

Positron emission tomography

PTLD:

Posttransplant lymphoproliferative disorder

SCC:

Squamous cell cancer

SIR:

Standardized incidence ratio

SRTR:

Scientific registry of transplant recipients

TGF:

Transforming growth factor

UV:

Ultra violet

VEGF:

Vascular endothelial growth factor

XRT:

Radiation therapy

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Sathyan, S., Bhaskaran, M., Nair, V. (2015). Cancer in the Kidney Transplant Recipient. In: Jhaveri, K., Salahudeen, A. (eds) Onconephrology. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2659-6_16

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