Gynecologic cancers and solid organ transplantation. Issue 5 (4th April 2019)

• Record Type: Journal Article
• Authors: Liao, John B.; Fisher, Cynthia E.; Madeleine, Margaret M.
• Is Part Of: American journal of transplantation. Volume 19:Issue 5(2019)
• Page Start: 1266
• Page End: 1277
• Publication Date: 2019-04-04
• Subjects: cancer/malignancy/neoplasia: risk factors -- clinical decision‐making -- clinical research/practice -- guidelines -- hematology/oncology -- obstetrics and gynecology -- organ transplantation in general; Transplantation of organs, tissues, etc -- Periodicals; 617.95
• DOI: 10.1111/ajt.15292
• Languages: English
• ISSNs: 1600-6135

Abstract

Abstract : Solid organ transplant (SOT) recipients have an approximately 2‐fold greater risk of developing and dying from a malignancy compared to the general population. Among the gynecologic cancers, including uterine, cervical, vaginal, vulvar, and ovarian, the HPV‐related cancers are known to increase among women posttransplant compared to women in the general population, but less is known about the risk of uterine and ovarian cancers. This review provides an overview of the epidemiology of gynecologic cancers after solid organ transplantation, as well as the pathophysiology, management, and specific risk factors associated with these cancers. Closer surveillance for cervical cancers is warranted and larger studies are needed to assess whether and how uterine and ovarian cancers are associated with excess incidence and mortality. Such studies may lead to improvements in screening, prevention, and treatment before and after transplantation. Abstract : The authors provide an overview of gynecologic cancers as they relate to solid organ transplantation and include recommendations for prevention and surveillance.