The objective of this review is to explore the available literature on solid renal masses (SRMs) in transplant allograft kidneys to better understand the epidemiology and management of these tumors. A literature review using PubMed was performed according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) methodology. Fifty-six relevant studies were identified from 1988 to 2015. A total of 174 SRMs in 163 patients were identified, with a mean tumor size of 2.75 cm (range 0.5–9.0 cm). Tumor histology was available for 164 (94.3%) tumors: clear cell renal cell carcinoma (RCC; 45.7%), papillary RCC (42.1%), chromophobe RCC (3%), and others (9.1%). Tumors were managed by partial nephrectomy (67.5%), radical nephrectomy (19.4%), percutaneous radiofrequency ablation (10.4%), and percutaneous cryoablation (2.4%). Of the 131 patients (80.3%) who underwent nephron-sparing interventions, 10 (7.6%) returned to dialysis and eight (6.1%) developed tumor recurrence over a mean follow-up of 2.85 years. Of the 110 patients (67.5%) who underwent partial nephrectomy, 3.6% developed a local recurrence during a mean follow-up of 3.12 years. The current management of SRMs in allograft kidneys mirrors management in the nontransplant population, with notable findings including an increased rate of papillary RCC and similar recurrence rates after partial nephrectomy in the transplant population despite complex surgical anatomy.

This study investigates the mechanical reinforcement of chitosan with TiO₂ and Ag nanoparticles, as well as their water vapour transmission rates and water resistance behaviour. The mechanical properties of chitosan were improved by addition of TiO₂ or Ag, with significant increases in Young’s modulus (from 25 MPa to ~300 MPa), tensile strength (from 6 MPa to 18–35 MPa) and toughness (from 1.3 J g⁻¹ to 7–8 J g⁻¹). The water vapour transmission rates (368–413 g m⁻² d⁻¹) were found to be similar for both materials. Inclusion of Ag reduced the water resistance (from 823% to 1,000%), while inclusion of TiO₂ yielded significant improvement in water resistance (from 823% to 100%).