Tuesday 29 March 2011

'Damaged' donors

Robert Law

Robert Law on getting cancer from a donor kidney

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An investigation is underway after two transplant patients got cancer from the same donor.

The recipients were each given a kidney from a woman with a rare form of blood cancer which was not picked up in routine safety checks.

The disease was detected too late in a post-mortem examination.

NHS Blood and Transplant (NHSBT), the agency responsible for transplant safety, said research would determine the scale of the problem nationally.

Rob Law, 59, and Gillian Smart, 47, both had transplants at the Royal Liverpool Hospital on 26 November 2010. The Royal Liverpool and Broadgreen University Hospitals Trust is conducting a joint investigation with NHSBT.

The donor, a 56-year-old woman, is said to have died from a brain haemorrhage.

Pathologists later discovered she suffered from intravascular B-cell lymphoma, a rare but aggressive form of cancer.

“Transplantation isn't risk-free. These are second hand organs”

Professor James Neuberger Associate medical director, NHS Blood Transplant

Both kidney patients are now undergoing chemotherapy.

Speaking to BBC Radio 4's File on 4, Gillian Smart said: "As a renal patient you come to terms with death very quickly. You see a lot of death while you dialyse.

"I didn't expect to have to come to terms with maybe a cancer death. It is quite a serious cancer and a hard cancer to fight."

Both patients want to know how the cancer was missed until the post-mortem and are considering legal action.

Mr Law said: "I felt I had to get to the bottom of this for the sake of anyone else in the same position, because there are 10,000 people a year who are waiting for a transplant.

"I feel they should know that any organs they get are suitable and they're not going to be infected by cancer or any other disease."

The Royal Liverpool's medical director Dr Peter Williams said both kidneys were transplanted from the same donor, who died at another hospital.

"When the kidneys were transplanted, the surgical team were completely unaware that the donor could have cancer," he said.

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File on 4 is on BBC Radio 4 on 22 March at 2000 GMT and Sunday 27 March at 1700 GMT

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