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ARTICLE |

Malignant Neoplasms Following Cardiac Transplantation FREE

John G. Krikorian, MD; Jeffrey L. Anderson, MD; Charles P. Bieber, MD; Israel Penn, MD; Edward B. Stinson, MD
[+] Author Affiliations

Reprint requests to Cardiology Division, Stanford University Medical Center, Stanford, CA 94305 (Dr Anderson).


JAMA. 1978;240(7):639-643. doi:10.1001/jama.1978.03290070041012
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Between Jan 6, 1968, and April 11, 1977, 124 patients underwent cardiac transplantation at Stanford University Medical Center, with a mean and median period of follow-up of 18.3 and 9.7 months, respectively. Malignant neoplasms developed in seven patients—three lymphoproliferative neoplasms, two skin cancers, one acute leukemia, and one colon carcinoma. Visceral tumors were often fatal and caused 11% of deaths after three months following transplantation. The incidence and spectrum of malignant neoplasms in this population are similar to those observed in recipients of renal homografts.

(JAMA 240:639-643, 1978)

REFERENCES

Penn I:  Malignant lymphomas in transplantation patients . Presented at International Congress of Transplantation Society, New York, Sept 8 to 11, 1968 .
Penn I, Hammond W. Brettschneider L, et al:  Malignant lymphoma in transplant patients . Transplant Proc 1:106-111, 1969;.
Penn I:  Development of cancer as a complication of clinical transplantation . Transplant Proc 9:1121-1127, 1977;.
Rider AK, Copeland JG, Hunt SA, et al:  The status of cardiac transplantation, 1975 . Circulation 52:531-539, 1975;.
Griepp RB, Stinson EB, Bieber CP, et al:  Human heart transplantation: Current status . Ann Thorac Surg 22:171-175, 1976;.
Bodmer W, Tripp M, Bodmer J:  Application of a fluorochromatic cytotoxicity assay to human leukocyte typing , in Curtoni ES, Mattiuz PL, Tosi RM (eds): Histocompatibility Testing, 1967 . Baltimore, Williams & Wilkins Co, 1967;, pp 341-350.
Kaplan E, Meier P:  Non-parametric estimations from incomplete observations . J Am Stat Assoc 453:457-480, 1958;.
Gehan E:  A generalized Wilcoxon test for comparing arbitrarily singly-censored samples . Biometrika 52:203-233, 1965;.
Sheil ACR:  Cancer in renal allograft recipients in Australia and New Zealand . Transplant Proc 9:1133-1136, 1977;.
Reimer RR, Hoover R, Fraumeni JF Jr, et al:  Acute leukemia after alkylating-agent therapy of ovarian cancer . N Engl J Med 297:177-181, 1977;.
Svejgaard A, Platz P, Ryder LP, et al:  HL-A and disease associations: A survey . Transplant Rev 22:3-43, 1975;.
Matas AJ, Simmons RL, Kjellstrand CM, et al:  Increased incidence of malignancy in uremic patients and its significance to transplantation . Transplant Proc 9:1137-1140, 1977;.

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Penn I:  Malignant lymphomas in transplantation patients . Presented at International Congress of Transplantation Society, New York, Sept 8 to 11, 1968 .
Penn I, Hammond W. Brettschneider L, et al:  Malignant lymphoma in transplant patients . Transplant Proc 1:106-111, 1969;.
Penn I:  Development of cancer as a complication of clinical transplantation . Transplant Proc 9:1121-1127, 1977;.
Rider AK, Copeland JG, Hunt SA, et al:  The status of cardiac transplantation, 1975 . Circulation 52:531-539, 1975;.
Griepp RB, Stinson EB, Bieber CP, et al:  Human heart transplantation: Current status . Ann Thorac Surg 22:171-175, 1976;.
Bodmer W, Tripp M, Bodmer J:  Application of a fluorochromatic cytotoxicity assay to human leukocyte typing , in Curtoni ES, Mattiuz PL, Tosi RM (eds): Histocompatibility Testing, 1967 . Baltimore, Williams & Wilkins Co, 1967;, pp 341-350.
Kaplan E, Meier P:  Non-parametric estimations from incomplete observations . J Am Stat Assoc 453:457-480, 1958;.
Gehan E:  A generalized Wilcoxon test for comparing arbitrarily singly-censored samples . Biometrika 52:203-233, 1965;.
Sheil ACR:  Cancer in renal allograft recipients in Australia and New Zealand . Transplant Proc 9:1133-1136, 1977;.
Reimer RR, Hoover R, Fraumeni JF Jr, et al:  Acute leukemia after alkylating-agent therapy of ovarian cancer . N Engl J Med 297:177-181, 1977;.
Svejgaard A, Platz P, Ryder LP, et al:  HL-A and disease associations: A survey . Transplant Rev 22:3-43, 1975;.
Matas AJ, Simmons RL, Kjellstrand CM, et al:  Increased incidence of malignancy in uremic patients and its significance to transplantation . Transplant Proc 9:1137-1140, 1977;.
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