Renal Cell Carcinoma in a Solitary Functioning Kidney in a Pediatric Patient with Diabetes Mellitus Type I Early Transplantation - A First in the Philippines

Renal Cell Carcinoma in a Solitary Functioning Kidney in a Pediatric Patient with Diabetes Mellitus Type I Early Transplantation - A First in the Philippines
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Title:Renal Cell Carcinoma in a Solitary Functioning Kidney in a Pediatric Patient with Diabetes Mellitus Type I Early Transplantation - A First in the Philippines
Author/Abstract:

Darwin Henry Galuba, MD; Dante Dator, MD, DPBU and Carlos Ramon Torres, MD, DPBU

Department of Urology, National Kidney and Transplant Institute

A 17 year old female with diabetes mellitus type 1, with chronic kidney disease. Moreover, hypoplastic left kidney and a renal mass on the functional kidney. The possibility all these medical problems occurring at the same time is close to impossible. The management is likewise very difficult and challenging. Partial nephrectomy as initial choice to treatment but initial ureteroscopic findings and change to radical nephrectomy was prudent. In lieu of chronic dialysis, the decision of early transplantation was done. We present the management choices we had to make in a very difficult case.

Key words: diabetes mellitus type1, hypoplastic kidney, solitary kidney, renal cell cancer

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