title: Renal clear cell carcinoma emerging in a transplanted kidney 3 years after return to dialysis. Case report and review of the literature.
abstract: We present a female patient with end-stage renal disease who was referred to the emergency department with sudden, excruciating pain over the right lower abdomen and flank. Radiologic evaluation following admission revealed a mass, solid in nature, located at the upper pole of the transplanted kidney. The patient was treated with empiric antibiotics and analgesics, and her symptoms subsided over the course of the week. Based on the clinical course and radiological findings, a self-limiting, spontaneous haemorrhage was thought to be the cause of the patient's symptoms. Nevertheless, background malignancy could not be ruled out. Therefore, an interval, elective graft nephrectomy was scheduled. Pathology confirmed the diagnosis of renal clear cell carcinoma.
authors.affiliation: Department of Surgery and Transplantation Unit , Hadassah-Hebrew University Medical Center , Ein-Kerem, Jerusalem , Israel.
authors.forename: Ram
authors.initials: R
authors.lastname: Elazary
authors.affiliation: Departement of Surgery , New York University Hospital , New York, NY , USA.
authors.forename: Avraham
authors.initials: A
authors.lastname: Schlager
authors.affiliation: Department of Radiology , Hadassah-Hebrew University Medical Center , Ein-Kerem, Jerusalem , Israel.
authors.forename: Liat
authors.initials: L
authors.lastname: Appelbaum
authors.affiliation: Department of Surgery and Transplantation Unit , Hadassah-Hebrew University Medical Center , Ein-Kerem, Jerusalem , Israel.
authors.forename: Gideon
authors.initials: G
authors.lastname: Zamir
authors.affiliation: Department of Surgery and Transplantation Unit , Hadassah-Hebrew University Medical Center , Ein-Kerem, Jerusalem , Israel.
authors.forename: Itzhak
authors.initials: I
authors.lastname: Nir
keywords: graft; immune suppression; neoplasm; renal cell carcinoma; transplantation