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Complications of systemic retinoid therapy in organ transplant recipients with squamous cell carcinoma
Juan-Carlos Martinez1, Clark C Otley, Sylvie Euvrard
1Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA.
Background:
Organ transplant recipients receiving immunosuppressive medications are at increased risk of cutaneous malignancies.
Objective:
We sought to determine the complications associated with systemic retinoid therapy in severely affected organ transplant recipients receiving treatment before or during the course of metastatic squamous cell carcinoma.
Methods:
This was a collaborative retrospective study of solid organ transplant recipients treated with systemic retinoids for severe squamous cell carcinoma, with subjective analysis of complications associated with treatment.
Results:
Complications and intolerance of systemic retinoid therapy were common, necessitating discontinuation of therapy in six of eight cases.
Conclusion:
This subset of transplant patients, severely affected by skin cancer, appeared to be less able to tolerate systemic retinoid therapy than patients in formal clinical trials. Intolerance of adverse effects in this context suggests the need for novel approaches with these challenging patients.
Insights
Systemic retinoid therapy for severe skin cancer in organ transplant recipients often leads to complications and intolerance, frequently requiring treatment discontinuation. Novel therapeutic strategies are needed for these high-risk patients.
Area of Science:
- Oncology
- Dermatology
- Transplant Surgery
Background:
- Organ transplant recipients (OTRs) on immunosuppressants face a higher risk of developing skin cancers.
- Cutaneous malignancies are a significant concern in the long-term management of OTRs.
Purpose of the Study:
- To evaluate complications of systemic retinoid therapy in OTRs with severe squamous cell carcinoma.
- To assess treatment tolerance in this specific patient population.
Main Methods:
- Retrospective collaborative study involving solid organ transplant recipients.
- Analysis of complications associated with systemic retinoid treatment for severe cutaneous squamous cell carcinoma.
Main Results:
- High incidence of complications and intolerance to systemic retinoid therapy observed.
- Treatment discontinuation was necessary in 6 out of 8 (75%) evaluated OTRs due to adverse effects.
Conclusions:
- Severely affected OTRs with skin cancer exhibit lower tolerance to systemic retinoids compared to general patient cohorts.
- The findings highlight the need for alternative treatment approaches for OTRs experiencing retinoid intolerance.
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