Transplantation of kidneys with tumors.

Authors: Frascà GM, D'Errico A, Malvi D, Porta C, Cosmai L, Santoni M, Sandrini S, Salviani C, Gallieni M, Balestra E
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.
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