Choriocarcinoma transmitted with the transplant: Case study.
Ziba AghsaeifardMarzieh LatifiFarzaneh BagherpourMaryam RahbarHormat RahimzadehFarshad NamdariHossein DialamehMohsen Taheri MahmoudiDehghani SanazPublished in: SAGE open medical case reports (2022)
Choriocarcinoma is a rare kind of cancer, which may be either gestational or non-gestational. Choriocarcinoma is responsible for about a quarter of all documented neoplastic aneurysms. It is a descriptive case report of choriocarcinoma transmission from a donor, following kidney donation. A 45-year-old woman got a kidney from a 25-year-old woman who was taken to the hospital due to a non-traumatic cerebral hemorrhage. She delivered a healthy baby 48 days before her brain death. The transplant was successfully done. Five weeks' post-transplantation, the recipient had pain and erythema in the surgical area. Regarding the high level of beta-human chorionic gonadotropin in her blood, diagnostic tests were performed. Following the confirmation of the cancer, a five-phase chemotherapy plan with various pharmaceutical regimens was initiated. Liver function test values rose after the final round of chemotherapy, and the patient developed hepatic encephalopathy. Considering the thrombocytopenia, dialysis, or hemoperfusion, which are normally performed to reduce liver enzymes, were not initiated. Finally, she died due to the hepatic failure and disseminated intravascular coagulation. Although the nephrologists disagree on the optimal course of treatment, it seems that nephrectomy would be helpful in such instances. Physicians should be aware of the possibility of transplant-related choriocarcinoma in female donors of reproductive age who die because of intracerebral brain hemorrhage for unclear reasons. Every donor must undergo a thorough examination. It is critical to get documents, clarify history, and interview relatives.
Keyphrases
- case report
- papillary thyroid
- weight gain
- pregnant women
- squamous cell
- white matter
- endothelial cells
- resting state
- primary care
- chronic pain
- healthcare
- cerebral ischemia
- locally advanced
- spinal cord injury
- subarachnoid hemorrhage
- radiation therapy
- squamous cell carcinoma
- functional connectivity
- emergency department
- stem cells
- pain management
- birth weight
- physical activity
- robot assisted
- spinal cord
- body mass index
- pregnancy outcomes
- cell therapy
- bone marrow
- end stage renal disease
- combination therapy
- induced pluripotent stem cells
- minimally invasive
- weight loss
- peritoneal dialysis