Partial nephrectomy for renal cell carcinoma in an allograft kidney with limited functional reserve

The increased risk of malignancies is a well-recognized complication of organ transplantation. When renal cell carcinoma (RCC) occurs in kidney transplant recipients, less than 10% of it affects the allograft. Recent experience suggests that partial allograft nephrectomy for tumours less than 4 cm m...

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Bibliographic Details
Published inNDT plus Vol. 2; no. 4; pp. 312 - 313
Main Authors Li, Jordan Y. Z., Yong, Tuck Y., Rao, Mohan, Coates, P. Toby H.
Format Journal Article
LanguageEnglish
Published England Oxford University Press 01.08.2009
Subjects
Case Report
immunosuppression
renal cell carcinoma
partial nephrectomy
renal transplant
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Summary:The increased risk of malignancies is a well-recognized complication of organ transplantation. When renal cell carcinoma (RCC) occurs in kidney transplant recipients, less than 10% of it affects the allograft. Recent experience suggests that partial allograft nephrectomy for tumours less than 4 cm may be considered the treatment of choice. We report a case of a 3.3 cm RCC discovered in a renal allograft. Limited allograft function was due to segmental infarction after transplant surgery and chronic allograft nephropathy. She underwent successful partial allograft nephrectomy. At 36 months post-surgery, there is no evidence of RCC recurrence and she remains free of renal replacement therapy.
ISSN:1753-0784
1753-0792
DOI:10.1093/ndtplus/sfp027