title: Subcapsular nephron-sparing surgical approach for small renal graft tumor: a case report.
abstract: 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.
authors.affiliation: Hospital General Unïversitario Gregorio Marañon, Department of Urology, Madrid, Spain. enllga@terra.es
authors.forename: E
authors.initials: E
authors.lastname: Lledo-Garcia
authors.forename: R
authors.initials: R
authors.lastname: Duran-Merino
authors.forename: M
authors.initials: M
authors.lastname: Moralejo-Garate
authors.forename: J I
authors.initials: JI
authors.lastname: Monzo
authors.forename: C
authors.initials: C
authors.lastname: Hernandez-Fernandez
mesh_terms: 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