title: Transplantation of kidneys with tumors.
abstract: The shortage of donors in the face of the increasing number of patients wait-listed for renal transplantation has prompted several strategies including the use of kidneys with a tumor, whether found by chance on harvesting from a deceased donor or intentionally removed from a living donor and transplanted after excision of the lesion. Current evidence suggests that a solitary well-differentiated renal cell carcinoma, Fuhrman nuclear grade I-II, less than 1 cm in diameter and resected before grafting may be considered at minimal risk of recurrence in the recipient who, however, should be informed of the possible risk and consent to receive such a graft.
authors.affiliation: Nephrology, Dialysis and Renal Transplantation Unit, Ospedali Riuniti, V. Conca 71, 60020, Ancona, Italy. giovanni.frasca@ospedaliriuniti.marche.it.
authors.forename: Giovanni M
authors.initials: GM
authors.lastname: Frascà
authors.affiliation: "F. Addarii" Institute of Oncology and Transplantation Pathology, Bologna University, Bologna, Italy.
authors.forename: Antonia
authors.initials: A
authors.lastname: D'Errico
authors.affiliation: "F. Addarii" Institute of Oncology and Transplantation Pathology, Bologna University, Bologna, Italy.
authors.forename: Deborah
authors.initials: D
authors.lastname: Malvi
authors.affiliation: Medical Oncology, I.R.C.C.S. San Matteo University Hospital Foundation, Pavia, Italy.
authors.forename: Camillo
authors.initials: C
authors.lastname: Porta
authors.affiliation: Nephrology and Dialysis Unit, Istituti Ospitalieri Cremona, Cremona, Italy.
authors.forename: Laura
authors.initials: L
authors.lastname: Cosmai
authors.affiliation: Clinica di Oncologia Medica-Università Politecnica delle Marche, Ancona, Italy.
authors.forename: Matteo
authors.initials: M
authors.lastname: Santoni
authors.affiliation: U.O. Nefrologia, Spedali Civili di Brescia, Brescia, Italy.
authors.forename: Silvio
authors.initials: S
authors.lastname: Sandrini
authors.affiliation: U.O. Nefrologia, Spedali Civili di Brescia, Brescia, Italy.
authors.forename: Chiara
authors.initials: C
authors.lastname: Salviani
authors.affiliation: Nephrology and Dialysis Unit, San Carlo Borromeo Hospital, Milan, Italy.|Department of Biomedical and Clinical Sciences "Luigi Sacco", University of Milano, Milan, Italy.
authors.forename: Maurizio
authors.initials: M
authors.lastname: Gallieni
authors.affiliation: Nephrology, Dialysis and Renal Transplantation Unit, Ospedali Riuniti, V. Conca 71, 60020, Ancona, Italy.
authors.forename: Emilio
authors.initials: E
authors.lastname: Balestra
mesh_terms: D046148:Donor Selection; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D016030:Kidney Transplantation / Q000009:adverse effects / Q000379:methods*; D060787:Neoplasm Grading; D009364:Neoplasm Recurrence, Local; D018570:Risk Assessment; D012307:Risk Factors; D014019:Tissue Donors / Q000600:supply & distribution*; D016896:Treatment Outcome; D047368:Tumor Burden; D014850:Waiting Lists
keywords: Kidney donation; Renal cancer; Renal transplantation; Safety of donation; Tumor transmission