| Bo Zhang,Huibo Shi,Jing Xu,Xiaoqin Li,Mengjun Zeng,Ying Tao,Xing Wu,Jipin Jiang. Adnexal tumor found during a brain-dead donor organ retrieval: a case report. Oncol Transl Med, 2022, 8: 314-317. |
| Adnexal tumor found during a brain-dead donor organ retrieval: a case report |
| Received:October 31, 2022 Revised:January 04, 2023 |
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| KeyWord:organ donation; donation evaluation; tumor |
| Author Name | Affiliation | E-mail | | Bo Zhang | Institute of Organ Transplantation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology | zhangbo@tjh.tjmu.edu.cn | | Huibo Shi | Organ Procurement Organization (OPO), Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology | | | Jing Xu | Organ Procurement Organization (OPO), Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology | | | Xiaoqin Li | Organ Procurement Organization (OPO), Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology | | | Mengjun Zeng | Organ Procurement Organization (OPO), Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology | | | Ying Tao | Organ Procurement Organization (OPO), Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology | | | Xing Wu | Organ Procurement Organization (OPO), Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology | | | Jipin Jiang | Organ Procurement Organization (OPO), Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology | 87148236@qq.com |
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| Abstract: |
| Pre-donation evaluation of organ donors is important. Organ quality directly affects both short- and
long-term survival rates of transplanted organs and recipients after transplantation. Contraindications to
donation are directly related to recipient survival and medical ethics. The following information is included
in this organ donation case report: detailed medical history (primary disease and surgical history), blood
type, infectious diseases, coagulation function, biochemical function, tumor biomarker, indicators related to
tuberculosis infection, microbial culture indicators, lung computed tomography (CT) scan, and abdominal
ultrasound (heart, liver, gallbladder, pancreas, spleen, kidneys, ureters, bladder, adnexa). We found a 10
cm × 10 cm space-occupying lesion in the abdominal cavity in this donor organ retrieval surgery. Frozen or
paraffin sections showed that the space-occupying lesion was malignant. The organ donor was not suitable
due to the malignant tumor, and the transplantation surgery was canceled. We analyzed this case of organ
donation to provide a reference for the follow-up donation evaluation process. This case study reveals
the limitations of preoperative non-invasive assessment, the necessity of preoperative multi-dimensional
assessment of organ function, and the exclusion of donation contraindications. |
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