BRCU 2025: Test Your Knowledge
A 55-year-old woman with a history of ESKD secondary to membranous nephropathy presents to the clinic for evaluation for kidney transplantation. She has been receiving peritoneal dialysis for the past year. As part of the evaluation, a kidney transplant ultrasound is performed and reveals a 2-cm hyperechoic mass of the left kidney. She undergoes a left native kidney nephrectomy that reveals renal cell carcinoma with clean margins. She has a living donor who has been evaluated and is ready for donation.Which of the following is the next best step?
- Proceed with living donor kidney transplantation without any wait time
- Proceed with living donor kidney transplantation after 2 years
- Proceed with living donor kidney transplantation via paired exchange after 5 years
- List the patient for a deceased donor kidney transplantation
- Do not proceed with kidney transplantation
Reference:
- Wong, Germaine, Wai H. Lim. "Prior Cancer History and Suitability for Kidney Transplantation." Clinical Kidney Journal 16, no. 11(2023): 1908–16. doi: 10.1093/ckj/sfad141
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