Solid Organ Transplantation: An Ethical Dilemma – Case Report

Year 2018, Volume: 5 Issue: 3, 278 - 282, 23.12.2018

Zeliha Özdemir Köken , Erdal Birol Bostancı Meral Akdoğan Kayhan Nurhan Bayraktar Leyla Dinç

https://doi.org/10.31125/hunhemsire.501047

Abstract

The shortage of cadaveric organ donors continues to be a major problem for solid organ
transplantation in Turkey as well as across the world. Due to this shortage, the use of
marginal and expanded criteria donors has become a current issue to increase the number
of transplantation and to decrease waitlist mortality rates. The use of organs of marginal
donors with a history of or active central nervous system tumor has been one possible
solution to increase the number of donors in organ transplantation. While this is a lifesaving practice for waitlist patients, it constitutes a risk of malignancy originating from
donors. This is an important issue that should be discussed in the field of transplantation
and ethics. This case study aims to discuss an ethical dilemma of liver transplantation from
a donor with a history of central nervous system tumor to a patient in need of emergency
liver transplantation. It is considered that the decision-making process for the use of
marginal donor grafts in solid organ transplantation should be managed in accordance with
ethical principles.

Keywords

Donor, ethics, ethical dilemma, malignancy

References

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