Skin Cancer Development in Solid Organ Transplant Recipients in Switzerland (Swiss Transplant Cohort Study).

Stenz, Nadja Angela; Stampf, Susanne; Arnold, Andreas W; Cozzio, Antonio; Dickenmann, Michael; Gaide, Olivier; Harms, Mirjam; Hunger, Robert E.; Laffitte, Emmanuel; Mühlstädt, Michael; Nägeli, Mirjam; Hofbauer, Günther F L (2020). Skin Cancer Development in Solid Organ Transplant Recipients in Switzerland (Swiss Transplant Cohort Study). (In Press). Dermatology, pp. 1-11. Karger 10.1159/000510685

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IMPORTANCE

Skin cancer, in particular squamous cell carcinoma, is the most frequent malignancy among solid organ transplant recipients with a higher incidence compared to the general population.

OBJECTIVE

To determine the skin cancer incidence in organ transplant recipients in Switzerland and to assess the impact of immunosuppressants and other risk factors.

DESIGN

Prospective cohort study of solid organ transplant recipients in Switzerland enrolled in the Swiss Transplant Cohort Study from 2008 to 2013.

PARTICIPANTS

2,192 solid organ transplant recipients.

MATERIALS AND METHODS

Occurrence of first and subsequent squamous cell carcinoma, basal cell carcinoma, melanoma and other skin cancers after transplantation extracted from the Swiss Transplant Cohort Study database and validated by medical record review. Incidence rates were calculated for skin cancer overall and subgroups. The effect of risk factors on the occurrence of first skin cancer and recurrent skin cancer was calculated by the Cox proportional hazard model.

RESULTS

In 2,192 organ transplant recipients, 136 (6.2%) developed 335 cases of skin cancer during a median follow-up of 32.4 months, with squamous cell carcinoma as the most frequent one. 79.4% of skin cancer patients were male. Risk factors for first and recurrent skin cancer were age at transplantation, male sex, skin cancer before transplantation and previous transplantation. For a first skin cancer, the number of immunosuppressive drugs was a risk factor as well.

CONCLUSIONS AND RELEVANCE

Skin cancer following solid organ transplantation in Switzerland is greatly increased with risk factors: age at transplantation, male sex, skin cancer before transplantation, previous transplantation and number of immunosuppressive drugs.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Dermatology

UniBE Contributor:

Hunger, Robert

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1018-8665

Publisher:

Karger

Language:

English

Submitter:

Andrea Studer-Gauch

Date Deposited:

25 Jan 2021 15:07

Last Modified:

09 Jul 2021 09:39

Publisher DOI:

10.1159/000510685

PubMed ID:

33227788

Uncontrolled Keywords:

Basal cell carcinoma Keratinocyte carcinoma Melanoma Organ transplant recipient Organ transplantation Skin cancer Squamous cell carcinoma

BORIS DOI:

10.48350/151030

URI:

https://boris.unibe.ch/id/eprint/151030

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