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Renal Autotransplantation and Extracorporeal Nephron-Sparing Surgery for De Novo Renal Cell Carcinoma in a Kidney Allograft. 2017

Shinichiro Ono, and Takashi Kenmochi, and Taihei Ito, and Naohiro Aida, and Kazunori Otsuki, and Naotake Akutsu, and Michihiro Maruyama, and Mamoru Kusaka, and Ryoichi Shiroki, and Kiyotaka Hoshinaga
Department of Organ Transplant Surgery, Fujita Health University, School of Medicine, Aichi, Japan.

De novo renal cell carcinoma (RCC) rarely occurs in kidney allografts; however, the risk of RCC in these patients is 100-fold that of the general healthy population. Although total nephrectomy has been the standard treatment for kidney allograft RCC, several authors have reported that early-stage RCC in kidney allografts was successfully treated with nephron-sparing surgery. We herein describe a new procedure involving renal autotransplantation and extracorporeal nephron-sparing surgery, which was performed to treat de novo RCC near the hilum of a transplanted kidney. In the 22 months since transplantation, the patient's renal function has been favorable, and no recurrence has been observed. In conclusion, renal autotransplantation is a feasible technique for the treatment of RCC in kidney allografts, especially RCC located near the hilum.

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