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移植后儿科患者中与爱泼斯坦-巴尔病毒相关的平滑肌肿瘤:两例罕见部位病例及文献复习

Epstein-Barr virus associated smooth muscle tumors in post transplant pediatric patients two cases of rare locations, and review of the literature.

作者信息

Elawabdeh Nancy, Cone Brent M, Abramowsky Carlos R, Wrubel David M, Grossniklaus Hans, Walrath Joseph, Bashir Maaman Z, Shehata Bahig M

机构信息

Children's Healthcare of Atlanta, Pathology Laboratory, Atlanta, Georgia 30322, USA.

出版信息

Fetal Pediatr Pathol. 2013 Jun;32(3):184-91. doi: 10.3109/15513815.2012.701265. Epub 2013 Feb 27.

DOI:10.3109/15513815.2012.701265
PMID:23445451
Abstract

Epstein-Barr virus (EBV) may present few or no symptoms in immunocompetent individuals; however, in immunocompromised patients as in the case of AIDS and post-transplant patients, the virus occasionally stimulates neoplastic transformations. Epstein-Barr virus may play a role in the development of smooth muscle tumors (SMT). In the case of Epstein-Barr associated smooth muscle tumors (EBV+SMT), the virus is thought to be the leading factor to the tumorigenic pathway. We report two pediatric patients (6 and 13 years old) who underwent liver transplantation and developed EBV+SMT in the colon and orbit. These two cases represent rare locations for this kind of lesion.

摘要

爱泼斯坦-巴尔病毒(EBV)在免疫功能正常的个体中可能几乎不出现症状或没有症状;然而,在免疫功能低下的患者中,如艾滋病患者和移植后患者,该病毒偶尔会引发肿瘤转化。爱泼斯坦-巴尔病毒可能在平滑肌瘤(SMT)的发生发展中起作用。在爱泼斯坦-巴尔病毒相关平滑肌瘤(EBV+SMT)的病例中,该病毒被认为是致瘤途径的主要因素。我们报告了两名接受肝移植的儿科患者(分别为6岁和13岁),他们在结肠和眼眶出现了EBV+SMT。这两例代表了此类病变罕见的发病部位。

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引用本文的文献

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