Table 1. Epithelial tumors in organ homograft recipients.
Case No. | Transplant center | Age at time of transplant (years) | Sex | Donor | Immunosuppression by | Type of tumor | Time after transplantation (months) | Organs involved | Outcome | Referring physician | ||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Splenectomy | Thymectomy | Imuran | Prednisone | ALG | ||||||||||
1 | Denver | 37 | F | Unrelated living | Yes | Yes | Yes | Yes | No | Squamous cell carcinoma in situ | 50 | Cervix of uterus | Alive, no recurrence after hysterectomy | |
2 | Minneapolis | 28 | F | Brother | No | No | Yes | Yes | No | Squamous cell carcinoma in situ | 30 | Cervix of uterus | Alive, no recurrence after hysterectomy | R. L. Simmons |
3 | Montreal | 38 | F | Cadaver | No | No | Yes | Yes | Yes | Squamous cell carcinoma in situ | 6 | Cervix of uterus | Alive, no recurrence after cryosurgery | K. Pritzker |
4 | Los Angeles | 38 | F | Mother | No | No | Yes | Yes | No | Squamous cell carcinoma in situ | 35 | Cervix of uterus; anterior wall of vagina | Alive, no recurrence after excision | A. Gordon |
5 | Richmond | 33 | F | Sister | No | No | Yes | Yes | No | Squamous cell carcinoma in situ | 36 | Cervix of uterus | Cone biopsy; patient being observed at regular intervals | H. Lee |
6 | Denver | 26 | F | Father | Yes | No | Yes | Yes | No | Squamous cell carcinoma in situ | 65 | Cervix of uterus | Died of causes unrelated to carcinoma | |
7 | Denver | 17 | F | Father | Yes | No | Yes | Yes | Yes | Squamous cell carcinoma in situ | 51 | Cervix of uterus | Alive, awaiting hysterectomy | |
8 | Minneapolis | 32 | F | Sister | Yes | No | Yes | Yes | No | Squamous cell carcinoma in situ | 45 | Cervix of uterus | Alive, no recurrence after hysterectomy | R. L. Simmons |
9 | Denver | 40 | M | Unrelated living | Yes | No | Yes | Yes | No | Superficial squamous cell carcinoma | 66 | Lower lip | Alive, no recurrence following excision | |
10 | Denver | 39 | M | Brother | Yes | Yes | Yes | Yes | No | Superficial squamous cell carcinoma | 36 | Lower lip | Alive, no recurrence following excision | |
11 | Louisville | 35 | M | Brother | No | No | Yes | Yes | No | Squamous cell carcinoma | 8 | Lower lip | Alive, no recurrence following excision | D. Leb |
12 | Los Angeles | 27 | M | Mother | No | No | Yes | Yes | No | Squamous cell carcinoma | 25 | Lower lip | Alive, no recurrence following excision | R. Goldman |
13 | Los Angeles | 25 | F | Brother | No | No | Yes | Yes | No | Squamous cell carcinoma | 35 | Lower lip | Alive, no recurrence following excision | R. Goldman |
14 | Salt Lake City | 42 | M | Cadaver | No | No | Yes | Yes | Yes | Squamous cell carcinoma | 32 | Lip | Alive, no recurrence following excision | L. Stevens |
15 | San Francisco | 28 | M | Cadaver Cadaver |
Yes | No | Yes | Yes | No | Infiltrating squamous cell carcinoma | 32 | Lower left lip | Alive, recurrent lesion in lip removed 6 months after primary excision | F. O. Belzer |
16 | San Francisco | 23 | M | Brother | Yes | No | Yes | Yes | No | Infiltrating squamous cell carcinoma | 37 | Right lower lip | Alive, no recurrence following excision | F. O. Belzer |
17 | Denver | 40 | M | Unrelated living | Yes | Yes | Yes | Yes | No | Squamous cell carcinoma | 32 | Skin of ear | No recurrence after excision, died of other causes | |
18 | Denver | 43 | M | Uncle | Yes | No | Yes | Yes | Yes | Basal cell carcinoma | 33 | Nasolabial fold | Alive, no recurrence following excision | |
19 | Denver | 30 | M | Brother | Yes | Yes | Yes | Yes | No | Basal cell carcinoma | 75 | Nasolabial fold | Alive, no recurrence following excision | |
20 | Denver | 34 | M | Sister | Yes | No | Yes | Yes | No | Squamous cell carcinoma | 74 | Left forearm; right forearm; right arm; scalp | Dead (myocardial infarction) | |
21 | Stockholm | 58 | M | Cadaver | No | No | Yes | Yes | No | Multiple squamous cell carcinomas | 38 | Scalp | Alive | C. Franksson |
22 | Denver | 22 | M | Cousin | Yes | No | Yes | Yes | No | Squamous cell carcinoma | 78 | Left hand | Alive, no recurrence following excision | |
23 | Denver | 30 | M | Brother | Yes | No | Yes | Yes | Yes | Superficial squamous cell carcinomas | 36 | Face (3 areas) | Alive, 4 fresh areas excised from face and neck 4 months after initial lesions | |
24a | Sydney | 44 | F | Cadaver | No | No | Yes | Yes | No | Basal cell carcinoma | 3 | Nose | Alive following radiotherapy | J. F. Mahony |
25 | Sydney | 48 | F | Cadaver | No | No | Yes | Yes | No | Multiple squamous cell carcinomas Basal cell carcinoma |
29 | Forehead; right nasolabial fold; left temple; left preauricular lymph node | Alive following excisions and radiotherapy | J. H. Stewart |
26 | Denver | 21 | M | Father | Yes | No | Yes | Yes | No | Squamous cell carcinoma | 87 | Skin of face | Alive following excision | W. Alexander |
27 | San Francisco | 41 | M | Brother | Yes | No | Yes | Yes | No | Squamous cell carcinoma | 73 | Multiple sites dorsum of left hand | Alive following wide excision | F. O. Belzer |
28 | San Francisco | 46 | M | Sister | Yes | No | Yes | Yes | No | Squamous cell carcinoma | 76 | Floor of mouth; tongue; cervical lymph nodes | Dead | F. O. Belzer |
29 | Nashville | 34 | M | Cadaver | No | No | Yes | Yes | No | Squamous cell carcinoma | 62 | Metastases in lymph nodes of neck; later widespread metastases; primary site of tumor unknown | Dead | C. Zukoski |
30 | Montreal | 13 | M | Brother | No | No | Yes | Yes | No | Hepatocellular carcinoma | 32 | Liver | Dead | K. Pritzker |
31 | Toronto | 8 | F | Cadaver | No | No | Yes | Yes | Yes | Well differentiated hepatoma | 13 | Liver | Dead | A. Millner |
32 | Minneapolis | 27 | M | Brother | Yes | No | Yes | Yes | No | Undifferentiated carcinoma | 10 | Liver; brain; bone marrow | Dead | C. Hitchcock |
33 | Nashville | 47 | M | Cadaver | No | No | Yes | Yes | No | Undifferentiated carcinoma | 19 | Lung; mediastinal lymph nodes; brain; liver | Dead | C. Zukoski |
34 | Denver | 44 | F | Sister | Yes | No | Yes | Yes | Yes | Moderately differentiated adenocarcinoma | 31 | Lung | Dead | |
35 | San Francisco | 46 | M | Son; cadaver | Yes | No | Yes | Yes | No | Alveolar cell carcinoma of lung | 9 | Lungs | Dead | S. Kountz |
36 | Sydney | 43 | F | Cadaver | No | No | Yes | Yes | Yes (after development of tumor) | Adenocarcinoma | 32 | Lungs; mediastinal lymph nodes; liver | Dead | J. F. Mahony |
37 | Minneapolis | 16 | F | Cadaver | No | No | Yes | Yes | No | Dysgerminoma | 32 | Ovary; peritoneum; mediastinal and axillary lymph nodes | Dead | W. Kelly |
38a | Louisville | 32 | M | Brother | Yes | No | Yes | Yes | No | Embryonal cell carcinoma | 2 | Testis; abdominal organs; ureter of transplanted kidney; lung | Dead | D. Leb |
39 | Ghent | 53 | F | Cadaver | No | No | Yes | Yes | No | Adenocarcinoma | 35 | Sigmoid colon; liver | Dead | F. Derom |
40a | Chicago | 41 | M | Brother | No | No | Yes | Yes | No | Adenocarcinoma | 1 | Colon | Dead | D. Jonasson |
41b | Cape Town | 52 | M | Cadaver | No | No | Yes | Yes | Yes | Anaplastic small cell adenocarcinoma | 17 | Stomach; liver; mesentery; peritoneum | Dead | S. Bosman |
42c | Toronto | 21 | M | Cadaver | No | No | Yes | Yes | Yes | Highly anaplastic transitional cell tumor | 6 | Kidney; liver; brain; heart; lung | Dead | G. DeVeber |
43a | Cleveland | 45 | M | Cadaver | No | No | Yes | Yes | Yes | Adenocarcinoma | 1 | Thyroid gland | Alive following thyroidectomy | S. Deodhar |
44 | San Francisco | 32 | F | Brother Cadaver |
Yes | No | Yes | Yes | No | Adenocarcinoma | 32 | Breast; axillary lymph nodes | Alive following radical mastectomy | F. O. Belzer |
Tumors may have been present at time of transplantation.
Heart transplant recipient.
Tumor may have been present in homograft at time of transplantation.