Recurrence of bronchioloalveolar carcinoma in transplanted lungs
Open accessAbstract
BACKGROUND: Bronchioloalveolar carcinoma is a distinctive subtype of typical adenocarcinoma of the lung that tends to metastasize widely throughout the lungs but less commonly elsewhere. Because conventional therapies for intrapulmonary metastatic bronchioloalveolar carcinoma are generally ineffective, we treated seven patients who had intrapulmonary metastatic bronchioloalveolar carcinoma with lung transplantation. METHODS: Seven patients with biopsy-proved bronchioloalveolar carcinoma and no evidence of extrapulmonary disease received transplants of either one or two cadaveric lungs. At transplantation, all native lung tissue was removed and replaced with a donor lung or lungs. The patients received the usual post-transplantation care given at the institution. RESULTS: Four of the seven patients had recurrent bronchioloalveolar carcinoma within the donor lungs; the recurrences appeared from 10 to 48 months after transplantation. All recurrences were limited to the donor lungs. Histologic and molecular analyses showed that the recurrent tumors in three patients originated from the recipients of the transplants. CONCLUSIONS: Lung transplantation for bronchioloalveolar carcinoma is technically feasible, but recurrence of the original tumor within the donor lungs up to four years after transplantation was common.
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The risk of disease recurrence after lung transplant for thoracic malignancy is high.
“The risk of disease recurrence is high.(321, 322, 330)”
From Consensus document for the selection of lung transplant candidates: An update from the International Society for Heart and Lung Transplantation. (2021) · cites this paper as [330]
The Discussion reports recurrence in the donor lungs in four of seven patients transplanted for stage IV bronchioloalveolar carcinoma. This supports a high recurrence risk for that specific cancer in this small series, but not for thoracic malignancies generally. (LLM, conf=0.88)
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- Authors
- Garver, R. I., Zorn, G. L., Wu, X., McGiffin, D. C., Young, K. R., & Pinkard, N. B.
- Affiliations
- University of Alabama at Birmingham Hospital (US)
- University of Alabama at Birmingham (US)
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 1999-04-08
- Volume
- 340
- Issue
- 14
- Pages
- 1071-1074
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W1966154452
- Semantic Scholar
- 0676c7e6b286cd4515899c9572423a6b1ffe254e
- Cited by
- 102
- References
- 16
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 2 · 2023: 5 · 2022: 1 · 2021: 4 · 2019: 2 · 2018: 3 · 2017: 1 · 2016: 3 · 2015: 2 · 2014: 5 · 2013: 1 · 2012: 5
- FWCI
- 4.91
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Transplantation: Methods and Outcomes
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Diagnosis and Treatment
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Metastasis and carcinoma case studies
- Keywords
- bronchioloalveolar carcinoma, lung transplantation, tumor recurrence, donor lung, intrapulmonary metastasis, lung adenocarcinoma
- MeSH terms
- Adult, Adenocarcinoma, Bronchiolo-Alveolar, Female, Humans, Lung Neoplasms, Male, Middle Aged, Neoplasm Recurrence, Local, Neoplasm Staging, Lung Transplantation, Treatment Outcome
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