Diagnosis of urothelial carcinoma of the primary kidney allograft using a multi-diagnostic approach: A case report
Kidney recipients are at increased risk for developing malignancies after transplant due to its association with prolonged use of immunosuppression. Patients with hematuria after kidney transplantation can present with urothelial cell carcinoma (UCC) of the allograft. This report describes a 67-year...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-09-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043325004996 |
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| author | Anika Yadav, BS Rashmi Bharadwaj, BS Meera Gupta, MD |
| author_facet | Anika Yadav, BS Rashmi Bharadwaj, BS Meera Gupta, MD |
| author_sort | Anika Yadav, BS |
| collection | DOAJ |
| description | Kidney recipients are at increased risk for developing malignancies after transplant due to its association with prolonged use of immunosuppression. Patients with hematuria after kidney transplantation can present with urothelial cell carcinoma (UCC) of the allograft. This report describes a 67-year old female who presented with UCC of her first living donor kidney allograft of 42 years immediately after a repeat deceased donor kidney transplant. This patient’s case provides a unique presentation and diagnostic challenges of UCC involving a prior failed kidney allograft in a patient early after repeat transplantation. Diagnostic approaches including tagged red blood cell scan and formal cystoscopy with ureteral sampling are discussed. In this case, multimodality diagnostics were necessary for determining the correct therapeutic approach. |
| format | Article |
| id | doaj-art-066982437e2b47f482501b2be0734496 |
| institution | Kabale University |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-066982437e2b47f482501b2be07344962025-08-20T03:34:17ZengElsevierRadiology Case Reports1930-04332025-09-012094390439310.1016/j.radcr.2025.05.065Diagnosis of urothelial carcinoma of the primary kidney allograft using a multi-diagnostic approach: A case reportAnika Yadav, BS0Rashmi Bharadwaj, BS1Meera Gupta, MD2University of Kentucky College of Medicine, Lexington, KY, USA; Corresponding author.University of Kentucky College of Medicine, Lexington, KY, USADepartment of Abdominal Transplant Surgery, Duke University, Durham, NC, USAKidney recipients are at increased risk for developing malignancies after transplant due to its association with prolonged use of immunosuppression. Patients with hematuria after kidney transplantation can present with urothelial cell carcinoma (UCC) of the allograft. This report describes a 67-year old female who presented with UCC of her first living donor kidney allograft of 42 years immediately after a repeat deceased donor kidney transplant. This patient’s case provides a unique presentation and diagnostic challenges of UCC involving a prior failed kidney allograft in a patient early after repeat transplantation. Diagnostic approaches including tagged red blood cell scan and formal cystoscopy with ureteral sampling are discussed. In this case, multimodality diagnostics were necessary for determining the correct therapeutic approach.http://www.sciencedirect.com/science/article/pii/S1930043325004996TransplantUrothelial cell carcinomaAllograftKidneyHematuria |
| spellingShingle | Anika Yadav, BS Rashmi Bharadwaj, BS Meera Gupta, MD Diagnosis of urothelial carcinoma of the primary kidney allograft using a multi-diagnostic approach: A case report Radiology Case Reports Transplant Urothelial cell carcinoma Allograft Kidney Hematuria |
| title | Diagnosis of urothelial carcinoma of the primary kidney allograft using a multi-diagnostic approach: A case report |
| title_full | Diagnosis of urothelial carcinoma of the primary kidney allograft using a multi-diagnostic approach: A case report |
| title_fullStr | Diagnosis of urothelial carcinoma of the primary kidney allograft using a multi-diagnostic approach: A case report |
| title_full_unstemmed | Diagnosis of urothelial carcinoma of the primary kidney allograft using a multi-diagnostic approach: A case report |
| title_short | Diagnosis of urothelial carcinoma of the primary kidney allograft using a multi-diagnostic approach: A case report |
| title_sort | diagnosis of urothelial carcinoma of the primary kidney allograft using a multi diagnostic approach a case report |
| topic | Transplant Urothelial cell carcinoma Allograft Kidney Hematuria |
| url | http://www.sciencedirect.com/science/article/pii/S1930043325004996 |
| work_keys_str_mv | AT anikayadavbs diagnosisofurothelialcarcinomaoftheprimarykidneyallograftusingamultidiagnosticapproachacasereport AT rashmibharadwajbs diagnosisofurothelialcarcinomaoftheprimarykidneyallograftusingamultidiagnosticapproachacasereport AT meeraguptamd diagnosisofurothelialcarcinomaoftheprimarykidneyallograftusingamultidiagnosticapproachacasereport |