Case report: Choriocarinoma after liver transplant (1994)

Status: 
Ready to upload
Record number: 
1555
Adverse Occurrence type: 
MPHO Type: 
Estimated frequency: 
Most recent risk assessment for choriocarcinoma (Council of Europe, 2022): Due to the high transmission and mortality rates, it is considered an unacceptable risk for organ donation in any stage of disease. History of choriocarcinoma: Due to the reported high transmission and mortality rates, it is considered to be associated with a high or unacceptable risk for transmission through organ donation, depending on the recurrence-free period prior to donor death.
Time to detection: 
N/A
Alerting signals, symptoms, evidence of occurrence: 
Two organ recipients from the same donor had both metastasis of choriocarcinoma.
Demonstration of imputability or root cause: 
A donor donated lung-heart block, liver and right kidney. Lung was found to have nodule during transplant. Post-op day 1 nodule biopy revealed metastasis of choriocarcinoma. Liver tranplant recipient died of metastasis of choriocarcinoma. Kidney transplant recipinet developed metastasis of choriocarcinoma. Graft removed.
Imputability grade: 
3 Definite/Certain/Proven
Groups audience: 
Suggest references: 
Knoop, C.; Jacobovitz, D.; Antoine, M.; Francquen, P.; Yernault, J.C.; Estenne, M. Donor-transmitted tumors in lung allograft recipients: report on two cases Transplantation 1994; 57 (11) :1679 - 80