Table 3.
Suggested Protocol for Surveillance of de Novo Malignancies in Adult LDLT Recipients (Reference 49,53).
| Site specific | Tests | Applicable to transplant recipients |
|---|---|---|
| Skin cancer | Annual examination, early in patients with risk factors | All recipients |
| Colon cancer | Annual colonoscopy with random surveillance biopsy | Patients with inflammatory bowel disease, primary sclerosing cholangitis |
| Lung cancer | Annual chest X-ray, yearly CT chest if chronic symptoms or active smoking | All |
| Oropharyngeal/laryngeal cancer | Annual otolaryngology evaluation by specialist | Ethanol, current or ex-smokers, tobacco chewing |
| Cervical cancer | Pelvic examination with gynecologist and Papanicolaou smear | Female recipients |
| Breast cancer | Annual mammography starting at the age of 45 years | Female recipients |
| Prostate cancer | Annual prostate-specific antigen testing starting at the age of 50 years | Male recipients |
| RCC | Annual USG abdomen |