A patient with a renal transplant has a much greater risk of developing a premalignancy or malignancy in the anogenital region. In many cases the tumors can be related to HPV-related infections.
Sites that may be affected:
(1) anus
(2) perianal skin
(3) external genitalia
(4) vagina and cervix in females
(5) urethral meatus
Clinical features:
(1) more often affects females
(2) may appear years after the transplant
(3) may affect a relatively young patient
(4) may show a field effect
Monitoring of a patient with a renal transplant should include examination of sites at risk for anogenital neoplasia.
To read more or access our algorithms and calculators, please log in or register.
