Clear cell papillary renal cell carcinoma in a transplant kidney

Can J Urol. 2019 Jun;26(3):9794-9798.


Large renal cell carcinomas (RCC) arising in allograft kidney transplants are rarely encountered. The distinct RCC sub-type, clear cell papillary RCC (CP-RCC), has mostly been described in non-immunosuppressed patients. Here we report the presentation, management and pathologic diagnosis of a large (11.2 cm, pT2b), multifocal, CP-RCC in a poorly functioning renal allograft of a 63-year-old woman 19 years following kidney transplant. Preoperative angiographic kidney embolization was successfully performed prior to allograft nephrectomy, with an excellent surgical, oncologic and clinical outcome.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Allografts
  • Angiography
  • Carcinoma, Renal Cell / blood supply
  • Carcinoma, Renal Cell / diagnosis*
  • Carcinoma, Renal Cell / therapy
  • Embolization, Therapeutic / methods
  • Female
  • Humans
  • Kidney Neoplasms / blood supply
  • Kidney Neoplasms / diagnosis*
  • Kidney Neoplasms / therapy
  • Kidney Transplantation / adverse effects*
  • Magnetic Resonance Imaging
  • Middle Aged
  • Neoplasm Staging
  • Nephrectomy
  • Reoperation
  • Tomography, X-Ray Computed
  • Transplant Recipients*