[Clinical presentation of renal cell carcinoma in renal transplant].
OBJECTIVE
To analyze the clinical presentation and therapeutic response of renal cell carcinoma (RCC) of the renal graft.


METHODS
Analysis of the cases described in our centre and review of current literature.


RESULTS
RCC has a higher incidence in transplant patients, affecting the graft in less than 10% of the cases. Detection is usually a casual event during follow-up due to the absence of innervation, although its presentation may be as an acute abdomen in case of breakage of the graft. Conventional treatment consists of transplant nephrectomy, but partial nephrectomy has been performed in recent years with good results. The modification of immunosuppression is a routine measure after treatment.


CONCLUSIONS
The incidence of RCC after renal transplants in our series is 0.7%, of which 22% are originated in the graft. The clinical presentation of the primitive RCC of the graft is variable. Partial nephrectomy is technically feasible and oncologically safe in the treatment of RCC of the renal graft.
González-López
Raquel
R
Servicio de Urología, Universidad de Alcalá de Henares, Hospital Ramón y Cajal, Madrid, España. rakelgon@hotmail.com
Bueno-Serrano
Gonzalo
G
Mayor-De Castro
Javier
J
Vázquez-Escuderos
José Julián
JJ
Díez-Nicolás
Víctor
V
Marcén Letosa
Roberto
R
Pascual Santos
Julio
J
Burgos Revilla
Francisco Javier
FJ
D000368:Aged; D002292:Carcinoma, Renal Cell / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D007680:Kidney Neoplasms / Q000175:diagnosis* / Q000628:therapy; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis* / Q000628:therapy