An Unusual Presentation of Metastatic BK Virus-Associated Urothelial Carcinoma Arising in the Allograft, Persisting After Transplant Nephrectomy
We report a 32-year-old male 14 years post-living-related kidney transplant presenting with new-onset hematuria and BK viremia. He was found to have BK virus-associated urothelial carcinoma originating in the renal allograft with locally advanced disease and metastases to multiple sites. He also dev...
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| Veröffentlicht in: | International journal of surgical pathology 2023-12, Vol.31 (8), p.1586-1592 |
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| container_title | International journal of surgical pathology |
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| creator | Jones, Heather Bhakta, Anish Jia, Liwei Wojciechowski, David Torrealba, Jose |
| description | We report a 32-year-old male 14 years post-living-related kidney transplant presenting with new-onset hematuria and BK viremia. He was found to have BK virus-associated urothelial carcinoma originating in the renal allograft with locally advanced disease and metastases to multiple sites. He also developed acute T-cell-mediated rejection in the setting of immunosuppression reduction for BK viremia prior to undergoing transplant nephrectomy. Eight months following transplant nephrectomy and immunosuppression cessation, distant metastases persisted with partial response to chemotherapy and immunotherapy. Here, we discuss this unique presentation and compare it with other BK virus-associated allograft carcinomas reported in the literature, in addition to discussing evidence for the role of BK virus in oncogenesis. |
| doi_str_mv | 10.1177/10668969231160258 |
| format | Article |
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| issn | 1066-8969 1940-2465 |
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| source | SAGE Complete |
| subjects | Cancer Case Reports Kidney transplants Metastasis Urological cancer Viruses |
| title | An Unusual Presentation of Metastatic BK Virus-Associated Urothelial Carcinoma Arising in the Allograft, Persisting After Transplant Nephrectomy |
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