Flooks R, Vanacker A, Van Dorpe J, Smet B, Vandewiele I, De Schoenmakere G, Maes B
Departments of Nephrology, Universitas Hospital Bloemfontein, South Africa.
Transplant Proc. 2009 Oct;41(8):3437-9. doi: 10.1016/j.transproceed.2009.09.023.
Herein, we have reported a case of a 62-year-old patient who presented at 10 months after renal transplantation with a nodular mass on the dorsum of his foot. Local excision was performed and an acral myxoinflammatory fibroblastic sarcoma was diagnosed. This is a rare, low-grade sarcoma with a high rate of local recurrence, sometimes leading to amputation. Metastasis to the lungs and liver has been reported, but is rare. Since our patient received triple immunosuppressive therapy, our major concern was a much more aggressive behavior. However, more than 2 years after excision of the tumor, the patient is still free of disease.
