Table 2. Suggested screening and preventive strategies for post-transplant malignancies in patients transplanted for alcoholic cirrhosis.
Cancer type | Suggested screening and preventive strategy |
---|---|
Skin cancer | Annual dermatological examination beginning 5-year post-transplant |
Reduced sun-exposure (caps, long sleeve clothing and trousers) | |
Sun-screens | |
Lung cancer | Annual chest X-rays or low-dose CT chest (particularly in smokers with cumulative pack years of >10) |
Stop smoking and tobacco products | |
Oropharyngeal and laryngeal cancers | Annual otolaryngology evaluation |
Stop smoking and tobacco products | |
PTLDs | EBV status prior to transplant |
No recommendations regarding post-transplant surveillance or screening | |
Colon cancer | Colonoscopy with surveillance biopsies as per local guidelines for general population |
Breast cancer (in females) | Annual mammography at age 40 years or as per local guidelines for general population |
Cervical cancer (in females) | Cervical cytology as per local guidelines for general population |
Prostate cancer (in males) | Annual prostate specific antigen beginning at 50 years of age or as per local guidelines for general population |
CT, computed tomography; PTLD, post-transplant lymphoproliferative disorder; EBV, Epstein-Barr virus.