Standardized incidence ratio peaked in patients who underwent transplantation in 1983-1987 period.
Key changes include new N category descriptors, more stage III subgroups, new M1D designation.
Risk factors include older age, white race, and receiving a kidney from a living donor.
While users had an overall 11% increased risk of melanoma, there wasn't evidence that the drugs cause melanoma.
All recipients should have full-body skin evaluations after transplant surgery, regardless of ethnicity.
Researchers say skin cancer in these patients is likely due to more sun exposure.
They have double the risk of invasive melanoma and triple the risk of dying from it.
Researchers suspect compounds in citrus may sensitize skin to sunlight, but further study is needed.
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