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Ann Thorac Surg 1994;57:1300-1301
© 1994 The Society of Thoracic Surgeons

Articles

Primary bronchogenic carcinoma in the heart transplant recipient

Robert H. Fleming, MD, Stephen H. Jennison, MD, Keith S. Naunheim, MD*

Divisions of Cardiothoracic Surgery and Cardiology, St. Louis University Medical Center, St. Louis, Missouri, USA

Accepted for publication September 27, 1993.

* Address reprint requests to Dr Naunheim, Department of Surgery, St. Louis University Medical Center, 3635 Vista Avenue at Grand Blvd, PO Box 15250, St. Louis, MO 63110-0250.

An increased risk of neoplasia is a well-recognized complication of chronic immunosuppression. Although lung cancer has been sporadically reported in the transplant population, it has not been recognized widely as a specific risk among heart transplant recipients. We present 3 cases of bronchogenic carcinoma in cardiac transplant patients, discuss possible risk factors, and outline recommendations for diagnosis and management of new lung lesions discovered during routine followup.




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