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Many cancer survivors are keenly aware of the value of good health and
want to help others by donating their blood or body organs. However,
for the safety of blood or organ recipients, centers may restrict
donations from people diagnosed or with a history of certain cancers.
Blood donation
Some people who have had cancer are not allowed to donate
blood for a certain length of time after treatment. This is done partly
to protect the donor, but it may also add an extra margin of safety for
the person who receives the blood. If you aren't sure if you are well
enough to give blood, talk with your doctor before you donate.
While cancer has very rarely been transmitted through
transplants of solid organs such as kidneys, cancer due to blood
transfusion has not been reported in the medical literature. This would
suggest that the chance of getting cancer from a blood transfusion is
extremely small. Even if cancer cells were present in donated blood,
the immune system of the person getting the blood would destroy the
cells. A possible exception might be in transfusion recipients with
weakened immune systems, who might not be able to fend off the cancer
cells. Because of this slight possibility, people whose cancer is
thought to be growing or spreading are not allowed to donate blood for
other people.
Different blood collection centers may have slightly different
standards for allowing cancer survivors to donate. For example, the
American Red Cross allows most people who have had cancer to donate if
the cancer was treated at least 1 to 5 years ago and the cancer has not
come back. (The time can vary at different blood centers.) Potential
donors whose cancers had not spread and required no further treatment
besides removal have little chance of cancer cells getting into the
bloodstream. These low-risk donors may need to wait only until they've
healed from their surgery and feel well again to donate blood.
You cannot donate blood if:
- you are being treated for cancer
- your cancer is spreading or has come back
- you have had leukemia or lymphoma as an adult
- you have ever had Kaposi's sarcoma
People who had leukemia or lymphoma as children are often
allowed to donate after 10 years of being cancer-free.
Different blood donation centers may have different
requirements. Ultimately, it's up to the doctor in charge of the donor
center to decide whether a person is allowed to donate. If you have
questions about whether you can donate, please contact the blood
collecting center in your community.
Some cancer survivors may find these precautions frustrating.
They may be eager to donate blood to help others with cancer, just as
they were helped by transfusions during their treatment. Everyone
should remember, though, that the most important goal in blood banking
is to ensure the safety of the blood supply and to protect transfusion
recipients.
Organ donation
Many cancer survivors also wish to help people by becoming
organ donors. There is always a pressing need for organ donation.
According to the United Network for Organ Sharing (UNOS), the
organization that facilitates every organ transplant in the United
States, more than 97,000 people are waiting for organs. Some organ
donations, such as kidney donation, may be done when a person is still
living, while others are possible only if a person wishing to donate
passes away under certain circumstances.
The risk of passing on cancer to an organ recipient is very
small, but there have been some rare reports in the medical literature
of this happening. The risk may be higher for organ transplants than
blood transfusions because organ recipients are given drugs to suppress
their immune systems to help prevent rejection of the transplant.
According to a study by UNOS, reported in the journal Transplantation,
under select circumstances there may be an acceptable risk in using
organs from donors who have had certain types of cancer. This is
particularly true if there is a long cancer-free interval before the
organ donation. At present, UNOS does not recommend accepting organs
from people with "actively spreading cancer (except for primary brain
tumors that have not spread beyond the brain stem)." Acceptance of
organs for donation is up to the individual organ procurement agency
and the recipient. If you have questions about whether you may be able
to donate your organs, please contact UNOS (see the "Additional
resources" section) or the organ procurement center in your
community.
For many people, corneal donation is another way to offer help
to others after they pass away. Almost all people with cancer (except
those with certain blood or eye cancers) can donate their corneas.
Corneal donation does not delay the funeral and the body is not
disfigured.
Last
Medical Review: 03/08/2008
Last Revised: 01/13/2009
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