title: Lung cancer after heart transplantation: results from a large multicenter registry.
abstract: In this study we analyzed Spanish Post-Heart-Transplant Tumour Registry data for adult heart transplantation (HT) patients since 1984. Median post-HT follow-up of 4357 patients was 6.7 years. Lung cancer (mainly squamous cell or adenocarcinoma) was diagnosed in 102 (14.0% of patients developing cancers) a mean 6.4 years post-HT. Incidence increased with age at HT from 149 per 100 000 person-years among under-45s to 542 among over-64s; was 4.6 times greater among men than women; and was four times greater among pre-HT smokers (2169 patients) than nonsmokers (2188). The incidence rates in age-at-diagnosis groups with more than one case were significantly greater than GLOBOCAN 2002 estimates for the general Spanish population, and comparison with published data on smoking and lung cancer in the general population suggests that this increase was not due to a greater prevalence of smokers or former smokers among HT patients. Curative surgery, performed in 21 of the 28 operable cases, increased Kaplan-Meier 2-year survival to 70% versus 16% among inoperable patients.
authors.affiliation: Hospital Universitario A Coruña, La Coruña.
authors.forename: M G
authors.initials: MG
authors.lastname: Crespo-Leiro
authors.forename: A
authors.initials: A
authors.lastname: Villa-Arranz
authors.forename: N
authors.initials: N
authors.lastname: Manito-Lorite
authors.forename: M J
authors.initials: MJ
authors.lastname: Paniagua-Martin
authors.forename: G
authors.initials: G
authors.lastname: Rábago
authors.forename: L
authors.initials: L
authors.lastname: Almenar-Bonet
authors.forename: L
authors.initials: L
authors.lastname: Alonso-Pulpón
authors.forename: S
authors.initials: S
authors.lastname: Mirabet-Pérez
authors.forename: B
authors.initials: B
authors.lastname: Diaz-Molina
authors.forename: F
authors.initials: F
authors.lastname: González-Vilchez
authors.forename: J M
authors.initials: JM
authors.lastname: Arizón de Prado
authors.forename: N
authors.initials: N
authors.lastname: Romero-Rodriguez
authors.forename: J
authors.initials: J
authors.lastname: Delgado-Jimenez
authors.forename: E
authors.initials: E
authors.lastname: Roig
authors.forename: T
authors.initials: T
authors.lastname: Blasco-Peiró
authors.forename: D
authors.initials: D
authors.lastname: Pascual-Figal
authors.forename: L
authors.initials: L
authors.lastname: De la Fuente Galán
authors.forename: J
authors.initials: J
authors.lastname: Muñiz
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006333:Heart Failure / Q000150:complications* / Q000601:surgery*; D016027:Heart Transplantation / Q000009:adverse effects*; D006801:Humans; D015994:Incidence; D008175:Lung Neoplasms / Q000150:complications / Q000453:epidemiology / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011379:Prognosis; D012042:Registries; D012737:Sex Factors; D013030:Spain