Cited by 102Transplantation: Methods and OutcomesLung Cancer Diagnosis and TreatmentMetastasis and carcinoma case studies

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Recurrence of Bronchioloalveolar Carcinoma in Transplanted Lungs

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Garver, Robert I., Zorn, George L., Wu, Xing, McGiffin, David C., Young, K. Randall, Pinkard, Nanette B.·1999·New England Journal of Medicine

DOI 10.1056/nejm199904083401403

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Abstract

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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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)
ORCID: Wu, Xing
McGiffin, David C.
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
DOI: 10.1056/nejm199904083401403
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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Recurrence of Bronchioloalveolar Carcinoma in Transplanted Lungs

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