De novo malignancies after liver transplantation: A 30-year multicenter Brazilian cohort

In a 30-year multicenter Brazilian cohort, DNM constituted a major late complication after LT with persistent risk into late survivorship and clinically meaningful attrition after non-cutaneous cancers. These findings support lifelong, risk-adapted and oncologically mindful immunosuppression, tailored to regional epidemiology and access to longitudinal care.