Late onset post-transplantation lymphoproliferative disease of recipient origin following cytogenetic relapse and occult autologous haematopoietic regeneration after allogeneic bone marrow ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2001-08-01

AUTHORS

WY Au, AK Lie, CK Lee, SK Ma, TS Wan, TW Shek, R Liang, YL Kwong

ABSTRACT

A post-transplantation lymphoproliferative disease (PTLD) of recipient origin was identified in one of 376 consecutive cases of allogeneic bone marrow transplantation (BMT). This occurred in a 36-year-old woman who received an allogeneic BMT for acute myeloid leukaemia in relapse. At 15 months after BMT, recipient haematopietic and leukaemic cells were found in the bone marrow, which disappeared on withdrawal of immunosuppression. However, severe graft-versus-host disease (GVHD) necessitated the continuation of immunosuppression, leading to the occurrence of PTLD in the liver and lung 12 months afterwards. Fluorescence in situ hybridisation showed that the neoplastic cells were of recipient origin. Although the PTLD also responded completely to withdrawal of immunosuppression, the patient finally died from the complications of GVHD. This case of late onset PTLD post-BMT showed features similar to those in solid organ transplantation, in that the tumour was of recipient origin and responded well to the withdrawal of immunosuppression. Of further interest is that recipient lymphoid regeneration had accompanied autologous haematopoietic regeneration and become a target for subsequent neoplastic transformation. Bone Marrow Transplantation (2001) 28, 417–419. More... »

PAGES

417-419

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/sj.bmt.1703144

DOI

http://dx.doi.org/10.1038/sj.bmt.1703144

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1018888553

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/11571518


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