@article {4931,
	title = {Outcome of Live-Donor Renal Transplants With Incidentally Diagnosed Renal Angiomyolipoma in the Donor},
	volume = {51},
	year = {2019},
	month = {Jul-Aug},
	pages = {3},
	abstract = {Introduction: Accepting donors with renal lesion amenable for pre-transplant management with no suspected long-term harm seems to expand the live-donor pool. We aimed to assess the long-term outcome of live-donor renal transplantation with incidentally discovered renal angiomyolipoma (AML) during routine evaluation of donors.
Patients and methods: A retrospective evaluation of incidentally discovered AML, during live-related-donor evaluation, was performed. The tumor criteria were retrieved. In cases with exophytic tumor, a back-table, partial nephrectomy was done with frozen section to exclude malignancy. Endophytic lesions were kept in situ and transplanted. Both donor and recipient were followed up by periodic imaging.
Results: Among 2925 cases, 6 AML with a median volume of 0.96 (range, 0.5-2) cm2 were identified. The median recipients{\textquoteright} age was 21 (range, 10-38) years and the median donors{\textquoteright} age was 48 (range, 45-50). Two AML were exophytic and back-table partial nephrectomy was performed, while 4 were endophytic and kept in situ, and the kidney was transplanted. After a median follow-up of 82 (range, 25-150) months, 4 patients were alive with functioning grafts and 2 resumed hemodialysis 5 and 7 years after transplantation. There was no evidence of increase in the AML size or newly developed AML in the grafts. All donors were alive with normal renal function (mean {\textpm} standard deviation, serum creatinine was 0.9 {\textpm} 0.2 mg/dL) and none developed new AML in the remaining kidney.
Conclusion: Incidentally discovered AML during live-donor evaluation is not a contraindication of donation after proper counseling of the couples and regular, periodic follow-up.},
	doi = {10.1016/j.transproceed.2019.02.035},
	author = {Mohamed H Zahran  1 , Ahmed I Kamal  2 , Ahmed Abdelfattah  2 , Mohamed Elsayed Mashaly  2 , Islam Fakhreldin  2 , Yasser Osman  2 , Bedeir Ali-El-Dein  2}
}
