Jamali Faek R, Otrock Zaher K, Soweid Assaad M, Al-Awar Ghassan N, Mahfouz Rami A, Haidar Ghassan R, Bazarbachi Ali
Department of Surgery, American University of Beirut-Medical Center, Beirut, Lebanon.
Leuk Lymphoma. 2007 Sep;48(9):1780-4. doi: 10.1080/10428190701608657.
Post-transplantation lymphoproliferative disorders (PTLDs) are well recognized complications of solid organ transplantation. The vast majority of early PTLDs are B-cell non-Hodgkin lymphomas. PTLDs of T-cell origin occur much less frequently and account for only a minority of cases. T-cell PTLDs have been reported to occur primarily at extranodal sites, commonly affecting bone marrow or splenic tissues. The small bowel is an uncommon site of origin of these tumors with only seven cases of primary intestinal post-transplant T-cell lymphomas reported in the literature. We hereby report a new case of primary intestinal post-transplant T-cell lymphoma, arising 18 years following renal transplantation, along with a literature review of all published cases.
移植后淋巴细胞增生性疾病(PTLDs)是实体器官移植中公认的并发症。绝大多数早期PTLDs是B细胞非霍奇金淋巴瘤。T细胞起源的PTLDs发生频率要低得多,仅占少数病例。据报道,T细胞PTLDs主要发生在结外部位,通常累及骨髓或脾脏组织。小肠是这些肿瘤罕见的起源部位,文献中仅报道了7例原发性移植后小肠T细胞淋巴瘤。我们在此报告1例肾移植18年后发生的原发性移植后小肠T细胞淋巴瘤新病例,并对所有已发表病例进行文献复习。