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中国成人实体器官移植术后新发恶性肿瘤临床实践指南

中国康复医学会器官移植康复专业委员会 张全保 陶一峰 沈丛欢 张彤 易述红 张剑峰 赵思捷 傅斌生 尚文俊 徐鑫 吴敏 邱江 李建华

器官移植2026,Vol.17Issue(5):695-717,23.
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器官移植2026,Vol.17Issue(5):695-717,23.DOI:10.12464/j.issn.1674-7445.2026182

中国成人实体器官移植术后新发恶性肿瘤临床实践指南

Clinical practice guidelines on de novo malignancies after solid organ transplantation in adult in China

中国康复医学会器官移植康复专业委员会 1张全保 2陶一峰 2沈丛欢 2张彤 3易述红 4张剑峰 4赵思捷 4傅斌生 4尚文俊 5徐鑫 6吴敏 7邱江 8李建华2

作者信息

  • 2. 复旦大学附属华山医院
  • 3. 厦门大学附属翔安医院
  • 4. 510630 广州,中山大学附属第三医院
  • 5. 郑州大学第一附属医院
  • 6. 广州医科大学附属第一医院
  • 7. 广东省人民医院
  • 8. 中山大学附属第一医院
  • 折叠

摘要

Abstract

With the continuous improvement of long-term survival rates among solid organ transplantation(SOT)recipients,de novo malignancy(DNM)following transplantation have become a critical factor impairing long-term prognosis and causing non-organ-failure-related mortality.The risk profile and disease spectrum of DNM vary across different types of SOT recipients,modulated by multiple factors including ethnicity,primary underlying diseases,intensity of immunosuppression,regional environmental conditions and patterns of viral infection.Distinct differences exist in demographic characteristics and cancer epidemiology between Chinese SOT recipients and their Western counterparts,rendering overseas evidence and recommendations not fully applicable to clinical practice in China.Against this backdrop,the Organ Transplantation Rehabilitation Committee of Chinese Association of Rehabilitation Medicine convened multidisciplinary experts to formulate the Clinical Practice Guidelines on De Novo Malignancies After Solid Organ Transplantation in Adult in China.Integrating domestic and international evidence-based medical data alongside real-world clinical experience in China,this guideline proposes clinical recommendations for risk assessment,screening,surveillance and management of post-transplant DNM specifically tailored to adult Chinese SOT recipients,so as to provide evidence-based references for clinical identification,monitoring and standardized management of DNM in this population.

关键词

实体器官移植/新发恶性肿瘤/风险分层/肿瘤筛查/免疫抑制

Key words

Solid organ transplantation/De novo malignancy/Risk stratification/Tumor screening/Immunosuppression

分类

医药卫生

引用本文复制引用

中国康复医学会器官移植康复专业委员会,张全保,陶一峰,沈丛欢,张彤,易述红,张剑峰,赵思捷,傅斌生,尚文俊,徐鑫,吴敏,邱江,李建华..中国成人实体器官移植术后新发恶性肿瘤临床实践指南[J].器官移植,2026,17(5):695-717,23.

基金项目

国家重点研发计划(2023YFC2505900) (2023YFC2505900)

器官移植

1674-7445

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