绒毛膜癌是一种罕见的癌症,可能是妊娠或非妊娠。绒毛膜癌约占所有已记录的肿瘤动脉瘤的四分之一。这是来自供体的绒毛膜癌传播的描述性病例报告,在肾脏捐赠之后。一名45岁的妇女从一名25岁的妇女那里得到了肾脏,该妇女因非创伤性脑出血而被送往医院。她在脑死亡前48天分娩了一个健康的婴儿。移植成功完成。移植后五周,受者在手术区域出现疼痛和红斑.关于她血液中β-人绒毛膜促性腺激素的高水平,进行了诊断测试。癌症确认后,启动了包含各种药物方案的五期化疗计划.最后一轮化疗后肝功能测试值上升,病人出现肝性脑病.考虑到血小板减少症,透析,或者血液灌流,通常用于减少肝酶,没有启动。最后,她死于肝功能衰竭和弥散性血管内凝血。尽管肾脏病学家对最佳治疗方案意见不一,在这种情况下,肾切除术似乎会有所帮助。医生应该意识到,由于不清楚原因,因脑内出血而死亡的育龄女性捐献者中与移植相关的绒毛膜癌的可能性。每个捐赠者都必须接受彻底的检查。获得文件至关重要,澄清历史,采访亲戚。
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.