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一名13岁患有移植后淋巴细胞增生性疾病并伴有不明原因胃肠道出血的男孩:病例报告

A 13 year-old boy with post-transplantation lymphoproliferative disorder presenting with obscure gastrointestinal bleeding: a case report.

作者信息

Ho Edith Y, George Vijay, McCracken Marjorie, Ostroff James W

机构信息

Division of Gastroenterology, Department of Medicine, Case Western Reserve University/Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, OH, 44106, USA.

Department of Pathology and Laboratory Medicine, University of California San Francisco, CA, San Francisco, 94131, USA.

出版信息

F1000Res. 2014 Apr 7;3:88. doi: 10.12688/f1000research.3252.1. eCollection 2014.

DOI:10.12688/f1000research.3252.1
PMID:25254098
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4168743/
Abstract

One well recognized and potentially serious complication of chronic immunosuppression in organ transplant recipients is post-transplantation lymphoproliferative disorders (PTLD). This accounts for 20% of all malignancies in transplant recipients, which is four times higher than the general population (1,2). The diagnosis of PTLD is often difficult, due to various manifestations resulting in late diagnosis. We report an unusual presentation of PTLD in a pediatric patient where the diagnosis was achieved only after extensive investigation.

摘要

器官移植受者慢性免疫抑制的一种公认且可能严重的并发症是移植后淋巴细胞增生性疾病(PTLD)。这占移植受者所有恶性肿瘤的20%,比普通人群高四倍(1,2)。由于各种表现导致诊断延迟,PTLD的诊断通常很困难。我们报告了一例儿科患者PTLD的不寻常表现,该患者仅在进行广泛检查后才得以确诊。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60e9/4168743/11b4deaf992f/f1000research-3-3492-g0000.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60e9/4168743/11b4deaf992f/f1000research-3-3492-g0000.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60e9/4168743/11b4deaf992f/f1000research-3-3492-g0000.jpg

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A 13 year-old boy with post-transplantation lymphoproliferative disorder presenting with obscure gastrointestinal bleeding: a case report.一名13岁患有移植后淋巴细胞增生性疾病并伴有不明原因胃肠道出血的男孩:病例报告
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引用本文的文献

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ACG Case Rep J. 2017 Jul 5;4:e86. doi: 10.14309/crj.2017.86. eCollection 2017.

本文引用的文献

1
An overview of the pathogenesis and natural history of post-transplant T-cell lymphoma (corrected and republished article originally printed in Leukemia & Lymphoma, June 2007; 48(6): 1237 - 1241).移植后T细胞淋巴瘤的发病机制与自然史概述(校正并重新发表的文章,最初发表于《白血病与淋巴瘤》,2007年6月;48(6): 1237 - 1241)
Leuk Lymphoma. 2007 Sep;48(9):1780-4. doi: 10.1080/10428190701608657.
2
Post-transplantation lymphoproliferative disorders localizing to the gastrointestinal tract after liver transplantation: report of five pediatric cases.肝移植后定位于胃肠道的移植后淋巴组织增生性疾病:5例儿科病例报告
Pediatr Transplant. 2006 May;10(3):390-4. doi: 10.1111/j.1399-3046.2005.00457.x.
3
Posttransplantation lymphoproliferative disorder in pediatric liver transplantation.
小儿肝移植术后淋巴组织增生性疾病
Transplant Proc. 2004 Oct;36(8):2307-8. doi: 10.1016/j.transproceed.2004.08.138.
4
Cancer risk following organ transplantation: a nationwide cohort study in Sweden.器官移植后的癌症风险:瑞典的一项全国性队列研究。
Br J Cancer. 2003 Oct 6;89(7):1221-7. doi: 10.1038/sj.bjc.6601219.
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Posttransplantation lymphoproliferative disorder: manifestations in pediatric thoracic organ recipients.移植后淋巴增生性疾病:小儿胸器官受者的表现
Radiology. 2002 Mar;222(3):699-708. doi: 10.1148/radiol.2223010456.
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Epstein-Barr virus-related post-transplant lymphoproliferative disease in solid organ transplant recipients, 1988-97: a Canadian multi-centre experience.
Pediatr Transplant. 2001 Jun;5(3):198-203. doi: 10.1034/j.1399-3046.2001.00059.x.
7
Risk of lymphoproliferative disorders after bone marrow transplantation: a multi-institutional study.骨髓移植后淋巴增生性疾病的风险:一项多机构研究。
Blood. 1999 Oct 1;94(7):2208-16.
8
Lymphoproliferative disorders: CT findings in immunocompromised children.
AJR Am J Roentgenol. 1998 Sep;171(3):725-31. doi: 10.2214/ajr.171.3.9725305.
9
Incidence of non-Hodgkin lymphoma in kidney and heart transplant recipients.肾移植和心脏移植受者中非霍奇金淋巴瘤的发病率。
Lancet. 1993;342(8886-8887):1514-6. doi: 10.1016/s0140-6736(05)80084-4.
10
Pretransplantation assessment of the risk of lymphoproliferative disorder.
Clin Infect Dis. 1995 May;20(5):1346-53. doi: 10.1093/clinids/20.5.1346.