RESUMO
Over the past few years, significant progress has been made in the science and development of paired donation. With increasing awareness of paired donation and ready availability of the tools necessary to establish new consortia, paired donation can be made available to transplant programs and patients with increasing alacrity. Increasing registration of recipients and their donors for paired donation will lead to larger pools for matching and to transplantation of increasing numbers of patients via paired donation. As paired donation becomes common practice throughout the US and the international transplant community, its role in facilitating transplantation of sensitized patients will be better defined. Presently, paired donation remains an attractive alternative to desensitization and wait list paired donation for a majority of patients with preexisting humoral immunity to their donors.
Assuntos
Obtenção de Tecidos e Órgãos/organização & administração , Teste de Histocompatibilidade , Humanos , Transplante de Órgãos/estatística & dados numéricos , Seleção de Pacientes , Software , Doadores de Tecidos/estatística & dados numéricos , Obtenção de Tecidos e Órgãos/ética , Obtenção de Tecidos e Órgãos/métodos , Imunologia de Transplantes , Estados Unidos , Listas de EsperaRESUMO
Adrenal cysts are rare and are often found incidentally during abdominal imaging for another reason. We describe two cases of adrenal cysts, one of which was found to be a cystic pheochromocytoma. Most cystic pheochromocytomas are not diagnosed by urinary screening studies, and the first indication of a pheochromocytoma may be hemodynamic instability during resection. We review the literature on adrenal cysts and make recommendations for the management of cystic adrenal masses.
