Department of Pathology, Lane Building, L235, 300 Pasteur Drive, Stanford, CA 94305, USA.
Department of Pathology, Lane Building, L235, 300 Pasteur Drive, Stanford, CA 94305, USA; Department of Medicine, Quantitative Sciences Unit, Stanford, CA, USA.
Surg Pathol Clin. 2023 Sep;16(3):519-532. doi: 10.1016/j.path.2023.04.007. Epub 2023 Jun 1.
Hematopoietic stem cell transplantation is used to treat a variety of hematologic malignancies and autoimmune conditions. The immunosuppressive medications as well as other therapies used both before and after transplantation leave patients susceptible to a wide spectrum of complications, including liver injury. Causes for liver damage associated with stem cell transplantation include sinusoidal obstruction syndrome, graft-versus-host disease, iron overload, and opportunistic infection. Here, the authors review the clinical and pathological findings of these etiologies of liver injury and provide a framework for diagnosis.
造血干细胞移植用于治疗多种血液系统恶性肿瘤和自身免疫性疾病。移植前后使用的免疫抑制药物和其他治疗方法使患者易患广泛的并发症,包括肝损伤。与干细胞移植相关的肝损伤的原因包括窦状隙阻塞综合征、移植物抗宿主病、铁过载和机会性感染。在这里,作者回顾了这些肝损伤病因的临床和病理发现,并提供了诊断框架。