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Prostatic carcinoma following renal transplantation
1Department of Surgery, St. Paul's Hospital, Vancouver, BC, Canada.
Transplantation Proceedings
|April 1, 1989
Summary
Prostate cancer in kidney transplant recipients is manageable. Radical prostatectomy is feasible post-transplant, and immunosuppression can often continue without worsening the cancer
Area of Science:
- Urology
- Nephrology
- Oncology
Background:
- Renal transplantation is a life-saving procedure for end-stage renal disease.
- Prostate carcinoma is a common malignancy in older men.
Observation:
- A case of prostatic carcinoma diagnosed in a patient who had previously undergone renal transplantation.
- Radical prostatectomy was performed successfully in this patient post-transplantation.
Findings:
- Treatment for prostate cancer was guided by standard staging principles.
- Immunosuppressive therapy was continued post-prostatectomy without apparent negative impact on the cancer thus far.
Implications:
- The feasibility of radical prostatectomy after renal transplantation is demonstrated.
- Discontinuation of immunosuppression should be individualized, awaiting further evidence on its effect on prostate cancer prognosis.