Résumé
Objective To summarize the occurrence of malignant tumor following renal transplantation and investigate the measures of prevention and treatment.Methods The clinical data of 1 037 cases of renal transplantation in our centre between Dec. 1979 and May 2001 were retrospectively. Results Of the 1 037 cases of renal transplantation, 15 cases were diagnosed as having malignant tumor with the incidence being 1.4% . The most common types of tumor were liver cancer (6/15), followed by Kaposi's sarcoma (4/15), pulmonary cancer (2/15). The main treatments included surgical resection, reducing the dosage of immunosuppressants, radiotherapy and chemotherapy.Conclusion There is higher incidence of malignance in the renal transplantation recipient than general crowd. The effect of treatment depended on early diagnosis of cancer and early surgical operation. At the same time, the dosage of immunosuppressants was reduced to maintain normal function of the graft.
Résumé
This paper reported some problems in relation to the elderly renal transplant recipients.Before transplantation,hemodialysis,blood transfusion,water and electrolyte balance and corrections of acidosis.and treatment of diseases of the other systems should be emphasized.Method of treating the athe erotic change in the iliacartery during the operation,and selection of immunosuppressants and dosages were discussed.The prevention and treatment of the postoperative pulmonary infection,septicemia,steroid induct ulcerations of gestrointestinal tract and profound hemorrhage,serious diabetes mellitus and hypertensive encephalopathy after transplantation were also discussed in this paper.