title: A successful live donor kidney transplantation after large angiomyolipoma excision.
abstract: BACKGROUND
  Angiomyolipoma is the most common benign neoplasm of the kidney. Successful transplantation of an AML affected kidney has been reported. However it is still often seen as a contraindication to transplantation.
  
  
  METHODS
  A 47-year-old female underwent assessment for a direct specified kidney donation to her husband who had end stage renal failure, due to adult polycystic kidney disease. Routine pre-operative CT angiography demonstrated a large 6cm×4cm AML arising from the upper pole of the right kidney. Right-side hand assisted retro-peritoneoscopic live donor nephrectomy with bench tumour excision was subsequently performed. Recipient implantation was unremarkable with no haemorrhage.
  
  
  CONCLUSIONS
  Histology confirmed a 7cm AML. At 36 months follow up, the recipient's serum creatinine was 158μmol/l and eGFR 40ml/min without the need for dialysis at any stage.
  
  
  CONCLUSIONS
  AML should not be a contraindication for specified live kidney donation, despite a size of 7cm.
authors.affiliation: Renal Transplant Unit, St. George's Hospital, London SW17 0QT, United Kingdom.
authors.forename: H
authors.initials: H
authors.lastname: Abboudi
authors.forename: P
authors.initials: P
authors.lastname: Chandak
authors.forename: N
authors.initials: N
authors.lastname: Kessaris
authors.forename: J
authors.initials: J
authors.lastname: Fronek