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学科主题: 临床医学
题名:
Clinicopathologic spectrum and EBV status of post-transplant lymphoproliferative disorders after allogeneic hematopoietic stem cell transplantation
作者: Chen, Ding-Bao1; Song, Qiu-Jing1; Chen, Yun-Xin1; Chen, Yu-Hong2; Shen, Dan-Hua1
关键词: Hematopoietic stem cell transplantation ; Post-transplant lymphoproliferative disorders ; Diffuse large B cell lymphoma ; Leukemia ; Epstein-Barr virus
刊名: INTERNATIONAL JOURNAL OF HEMATOLOGY
发表日期: 2013
DOI: 10.1007/s12185-012-1244-1
卷: 97, 期:1, 页:117-124
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Hematology
研究领域[WOS]: Hematology
关键词[WOS]: NON-HODGKIN-LYMPHOMA ; EPSTEIN-BARR-VIRUS ; RECIPIENTS ; DISEASE ; LESIONS ; KIDNEY ; IMPACT ; RISK
英文摘要:

Post-transplant lymphoproliferative disorders (PTLDs) are serious, life-threatening complications of solid-organ transplantation (SOT) and bone marrow transplantation, and are associated with high mortality. PTLDs represent a heterogeneous group of lymphoproliferative diseases, which show a spectrum of clinical, morphologic, and molecular genetic features ranging from reactive polyclonal lesions to frank lymphomas. We describe clinicopathologic features of 17 cases of PTLD after allogeneic hematopoietic stem cell transplantation (allo-HSCT), which were analyzed by in situ hybridization for EBV and a panel of antibodies directed against numerous antigens, including CD20, PAX5, CD3, bcl-6, CD10, MUM-1/IRF4, CD138, Kappa, Lambda, CD30, CD15, and Ki67. The cases included 13 males and 4 females with a median age of 31 years (range 9-49 years) and the PTLDs developed 1.5-19 months post-transplant (mean 4.7 months). The histological types indicated five cases of early lesions, two of plasmacytic hyperplasia and three of infectious mononucleosis-like PTLD. Eight cases were polymorphic PTLD, and four were monomorphic PTLD, including three of diffuse large B cell lymphoma, and one of plasmablastic lymphoma. Foci and sheets of necrosis were observed in five cases. The infected ratio of EBV was 88.2 %. Some cases were treated by reduction of immunosuppression, antiviral therapy, donor lymphocyte infusion, or anti-CD20 monoclonal rituximab. Eight cases died. The first half year after allo-HSCT is very important for the development of PTLD. The diagnosis of PTLD relies on morphology and immunohistochemistry, and EBV plays an important role in the pathogenesis of PTLD. The prognosis of PTLD is poor, and, notably, PTLD after allo-HSCT exhibits some features different from those of PTLD after SOT.

语种: 英语
WOS记录号: WOS:000313869200015
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/65506
Appears in Collections:北京大学第二临床医学院_病理科_期刊论文

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作者单位: 1.Peking Univ, Peoples Hosp, Dept Pathol, Beijing 100044, Peoples R China
2.Peking Univ, Peoples Hosp, Inst Hematol, Beijing 100044, Peoples R China

Recommended Citation:
Chen, Ding-Bao,Song, Qiu-Jing,Chen, Yun-Xin,et al. Clinicopathologic spectrum and EBV status of post-transplant lymphoproliferative disorders after allogeneic hematopoietic stem cell transplantation[J]. INTERNATIONAL JOURNAL OF HEMATOLOGY,2013,97(1):117-124.
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