2018, Cilt 5, Sayı 3, Sayfa(lar) 278-282
Solid Organ Transplantation: An Ethical Dilemma – Case Report
Zeliha ÖZDEMİR KÖKEN1, Erdal Birol BOSTANCI2, Meral AKDOĞAN KAYHAN3, Nurhan BAYRAKTAR4, Leyla DİNÇ5
1Hacettepe Üniversitesi Hemşirelik Fakültesi, Cerrahi Hastalıkları Hemşireliği Anabilim Dalı, Ankara, Türkiye
2Türkiye Yüksek İhitisas Eğitim ve Araştırma Hastanesi, Karaciğer Transplantasyon Merkezi, Ankara, Türkiye
3Türkiye Yüksek İhitisas Eğitim ve Araştırma Hastanesi, Karaciğer Transplantasyon Merkezi, Ankara, Türkiye
4Yakın Doğu Üniversitesi Sağlık Bilimleri Fakültesi, Cerrahi Hastalıkları Hemşireliği Anabilim Dalı, Lefkoşa, Kuzey Kıbrıs TC
5Hacettepe Üniversitesi Hemşirelik Fakültesi, Hemşirelik Esasları Anabilim Dalı, Ankara, Türkiye
Keywords: Donor, ethics, ethical dilemma, malignancy, organ transplantation

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.