Korean J Nephrol.
2008 Mar;27(2):264-269.
A Case of Primary Hepatic Angiosarcoma after Renal Transplantation
- Affiliations
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- 1Department of Internal Medicine, Gachon University of Medicine and Science, Incheon, Korea. jcyjs@dreamwiz.com
- 2Department of Pathology, Gachon University of Medicine and Science, Incheon, Korea.
- 3Department of Surgery, Gachon University of Medicine and Science, Incheon, Korea.
Abstract
- Malignancy is one of the important complications after renal transplantation, and decreases both patient survival and graft survival. Hepatic angiosarcoma is the most common sarcoma in liver, but a rare malignant tumor which occupies about 2% of all hepatic malignancies. We report a case of primary hepatic angiosarcoma after renal transplantation, the first case of post-transplantation angiosarcoma in Korea. A 27-year old man had received a living related renal transplantation. He was admitted due to clinical manifestations of liver cirrhosis such as ascites, spontaneous bacterial peritonitis, and varix bleeding at 8 months after transplantation. Whole liver was infiltrated with angiosarcoma; therefore, he was managed only by supportive care. Considering the poor prognosis of hepatic angiosarcoma, both careful screening of malignancy before transplantation and periodic surveillance of malignancy after transplantation are essential.
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