The pathology of liver-localized post-transplant lymphoproliferative disease: a report of three cases and a review of the literature.

Journal Article (Journal Article;Review)

Post-transplantation lymphoproliferative disease (PTLD) is a complication of solid organ transplantation that is typically of B-cell origin and associated with Epstein-Barr virus (EBV). In patients receiving orthotopic liver transplantation (OLT) and treated with cyclosporin A. PTLD typically presents between 6 and 17 months post-transplantation as a systemic illness with involvement of the hepatic graft in a minority of cases. A small number of cases of biopsy-proven PTLD arising in the hepatic graft and limited to the liver and periportal structures have been previously reported. This report describes three additional cases of liver-localized PTLD and reviews similar cases in the literature. The donor/host origin of PTLD may have prognostic significance because the two cases in this report that are of donor origin had different clinical and pathologic features compared with the case of host origin. A rapid PCR-based technique for determining the origin of PTLD is described.

Full Text

Duke Authors

Cited Authors

  • Nuckols, JD; Baron, PW; Stenzel, TT; Olatidoye, BA; Tuttle-Newhall, JE; Clavien, PA; Howell, DN

Published Date

  • May 2000

Published In

Volume / Issue

  • 24 / 5

Start / End Page

  • 733 - 741

PubMed ID

  • 10800993

International Standard Serial Number (ISSN)

  • 0147-5185

Digital Object Identifier (DOI)

  • 10.1097/00000478-200005000-00013


  • eng

Conference Location

  • United States