Minnee Robert C, Kimenai Hendrikus J A N, Verhagen Paul C, von der Thüsen Jan H, Dwarkasing Roy S, van de Wetering Jacqueline, IJzermans Jan N
Department of Surgery, Division of Hepato-Pancreato-Biliary and Transplant Surgery, Erasmus Medical Center, University Medical Center Rotterdam, Rotterdam, Netherlands.
Department of Surgery, Division of HPB and Transplant Surgery, Erasmus Medical Center, University Medical Center Rotterdam, Rotterdam, Netherlands.
Am J Case Rep. 2017 Jun 30;18:733-738. doi: 10.12659/ajcr.904045.
BACKGROUND The Bosniak system for radiological classification of renal cysts offers a tool for surgical decision-making in clinical practice. Although 95% of Bosniak 2F cysts remain benign, a consensus on the management of Bosniak 2F cysts in kidney donation has not been developed. CASE REPORT We present a donor with a Bosniak 2F cyst, who successfully donated her kidney after partial resection of the Bosniak 2F cyst. Postoperative pathology examination of the partially resected cystic wall revealed a multilocular cystic renal cell carcinoma. Postoperative pathology examination revealed a multilocular cystic renal cell carcinoma. Resection of the Bosniak 2F cyst provides 2 advantages: the recipient receives a new donor kidney and will be free of dialysis, and the donor will be free of surveillance. CONCLUSIONS We present a practical guideline for kidney donors with Bosniak 2F cysts, balancing the risk of tumor transmission or recurrence with the benefit associated with organ transplantation, without compromising the risk of the donor and recipient. Further evaluation of this algorithm by longer follow-up and more studies is needed to prove its safety.
背景 用于肾囊肿放射学分类的博斯尼亚克系统为临床实践中的手术决策提供了一种工具。尽管95%的博斯尼亚克2F类囊肿仍为良性，但对于肾移植中博斯尼亚克2F类囊肿的处理尚未达成共识。病例报告 我们报告一例患有博斯尼亚克2F类囊肿的供体，其在博斯尼亚克2F类囊肿部分切除术后成功捐献了肾脏。对部分切除的囊壁进行术后病理检查发现为多房囊性肾细胞癌。术后病理检查显示为多房囊性肾细胞癌。切除博斯尼亚克2F类囊肿有两个优点：受者获得一个新的供肾且无需透析，供者无需接受监测。结论 我们提出了针对患有博斯尼亚克2F类囊肿的肾供体的实用指南，在肿瘤传播或复发风险与器官移植相关益处之间取得平衡，同时不增加供者和受者的风险。需要通过更长时间的随访和更多研究对该算法进行进一步评估以证明其安全性。
