We report a case of renal cell carcinoma occurring in bilateral native kidneys following failure of transplant graft function. A 50-year-old man with long-standing chronic renal failure secondary to chronic glomerulonephritis had been on hemodialysis for 9 years when a cadaveric renal transplant was performed on January 29, 1995. He then resumed hemodialysis because of graft failure 21 months after the transplantation. He presented with gross hematuria and lower abdominal pain on April 5, 2001. Computerized tomography (CT) demonstrated acquired cystic disease of the kidney (ACDK) in both native kidneys with a 6 cm solid mass in the left kidney. He underwent transperitoneal bilateral nephrectomy with graft removal. Histopathological examination revealed renal cell carcinoma of the clear cell subtype with a maximum diameter of 4.5 cm in the left kidney. Despite the fact that no mass lesion was noted on preoperative CT of the right native kidney, a solitary 1.5×1.2×1.0 cm clear cell carcinoma was found in the upper portion. He has remained free of evidence of recurrence or metastasis for 6 months postoperatively.
|Number of pages||4|
|Journal||Nishinihon Journal of Urology|
|Publication status||Published - Jan 1 2003|
- Acquired cystic disease of the kidney
- Kidney transplantation
- Renal cell carcinoma
ASJC Scopus subject areas