Ask the Experts - Renal Transplantation in Patient With...
I have a 54-year-old male patient with chronic renal failure scheduled for renal transplantation. He was recently diagnosed with myelodysplastic syndrome type 1. Should I proceed with transplantation once the condition is treated and the blood counts return to normal?
Haris Poogoda, MD
The recipient should be regarded at some level as having a hematologic malignancy. If the patient is treated and is without evidence of disease for 2 years, he could conceivably be transplanted. With regard to myelodysplasia, it is a reasonable question whether transplantation is, in fact, advisable or possible.