where kidney transplantation was held up due to rectal cancer which was incidentally found in a young

초록

Kidney transplantation is known as the most efficient treatment method for patients with end-stage renal failure. Prior to the transplantation, it is very important to perform a physical checkup to find whether to make possible a kidney transplant. What matters for the physical checkup is to examine the physical conditions of both recipient and donor. Usually, family members mostly donate their kidney for transplantation. Therefore, it is important to prevent the donor from being developed to end-stage renal failure after their kidney donation. However, it is impossible to make fullbody examination. There has yet to be consensus as to how much a donor should be evaluated according to age and physical condition. This case report is about a 37-year woman, a daughter and donor of a kidney recipient patient, who decided donation for kidney transplantation at a given date, underwent endoscopy for physical checkup, and had colon cancer found, and thereby held the donation. In the colonscopy, protruding mass was found in the range of the anal verge 22cm to 25 cm. Therefore,EMR was performed. According to the biopsy, adenocarcinoma and liver metastasis were found. Liver metastasis which was not found by renal artery CT was found by PET. Therefore, RFA and anterior resection were performed In the case of kidney donor examination, endoscopy can be different depending on center. As shown in the case, cancer can be found by incident. Each center needs guidelines about endoscopy for physical checkup. And it will be necessary to conduct a relevant prospective study.