Subcapsular nephron-sparing surgical approach for small renal graft tumor: a case report.
Conservative treatment of renal cell cancer in kidney grafts is rare. Only six reports have been presented in the literature regarding nephron-sparing surgery in this setting. We report the case of a 38-year old man with a kidney transplant from a 72-year-old donor 2 years prior. Ultrasonography detected a renal exophytic mass (2 cm) in the lower pole, which was treated with open tumor enucleation by a subcapsular approach. No vascular clamping was performed, and minimal bleeding occurred. The kidney graft is well functioning, with serum creatinine of 1.6 mg/dL. The histological diagnosis was cromophyle renal adenocarcinoma.
Lledo-Garcia
E
E
Hospital General Unïversitario Gregorio Marañon, Department of Urology, Madrid, Spain. enllga@terra.es
Duran-Merino
R
R
Moralejo-Garate
M
M
Monzo
J I
JI
Hernandez-Fernandez
C
C
D000328:Adult; D000368:Aged; D002292:Carcinoma, Renal Cell / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007680:Kidney Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D016030:Kidney Transplantation / Q000502:physiology*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D014019:Tissue Donors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome