A shortage of available kidneys exists. Forty percent of patients with end stage renal disease wait more than 2 years for renal transplant. We report a case of a 22-year-old man who underwent laparoscopic radical nephrectomy for a 2-cm central renal mass. Ex vivo partial nephrectomy and renorraphy were performed. The reconstructed kidney was allotransplanted to a 62-year-old man with end stage renal disease. The recipient has excellent graft function. Imaging shows no evidence of recurrence or metastasis at 2 years' follow-up. Incidence and management of de novo renal cell carcinoma in renal allografts are reviewed.
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