Skip to main content
Top
Published in: Pediatric and Developmental Pathology 1/2005

01-02-2005

Epstein-Barr Virus–Associated Lymphoproliferative Disorder Presenting as Apparently Isolated Gastrointestinal Lesions in Childhood

Authors: N.J. Sebire, M. Malone, R.A. Risdon, A.D. Ramsay

Published in: Pediatric and Developmental Pathology | Issue 1/2005

Login to get access

Abstract

We present an unusual case of post-transplant lymphoproliferative disorder (PTLD) presenting as apparently isolated gastrointestinal lesions in a pediatric renal transplant recipient. The multiple bowel lesions were related to Epstein-Barr virus and demonstrated the appearance of a monomorphic PTLD that was morphologically indistinguishable from diffuse large B-cell lymphoma. The patient responded to therapy with targeted anti-CD20 immunotherapy. PTLD may manifest as apparently isolated gastrointestinal tract lesions in childhood.
Literature
1.
go back to reference Harris, NL, Swerdlow, SH, Frizzera, G, Knowles, DM 2001Post-transplant lymphoproliferative disordersJaffe, ESHarris, NLStein, HVardiman, JW eds. Tumours of Haematopoietic and Lymphoid Tissues; Pathology and GeneticsIARC PressLyon264269 Harris, NL, Swerdlow, SH, Frizzera, G, Knowles, DM 2001Post-transplant lymphoproliferative disordersJaffe, ESHarris, NLStein, HVardiman, JW eds. Tumours of Haematopoietic and Lymphoid Tissues; Pathology and GeneticsIARC PressLyon264269
2.
go back to reference Caillard, S, Lachat, V, Moulin, B 2000Posttransplant lymphoproliferative disorders in renal allograft recipients: report of 53 cases of a French multicenter studyPTLD French Working Group. Transpl Int138893 Caillard, S, Lachat, V, Moulin, B 2000Posttransplant lymphoproliferative disorders in renal allograft recipients: report of 53 cases of a French multicenter studyPTLD French Working Group. Transpl Int138893
3.
go back to reference Dharnidharka, VR Sullivan, EK Stablein, DM Tejani, AH Harmon, WE for the North American Pediatric Renal Transplant Cooperative Study (NAPRTCS). 2001Risk factors for posttransplant lymphoproliferative disorder (PTLD) in pediatric kidney transplantation: a report of the North American Pediatric Renal Transplant Cooperative Study (NAPRTCS)Transplantation7110651068 Dharnidharka, VR Sullivan, EK Stablein, DM Tejani, AH Harmon, WE for the North American Pediatric Renal Transplant Cooperative Study (NAPRTCS). 2001Risk factors for posttransplant lymphoproliferative disorder (PTLD) in pediatric kidney transplantation: a report of the North American Pediatric Renal Transplant Cooperative Study (NAPRTCS)Transplantation7110651068
4.
go back to reference EBPG Expert Group on Renal Transplantation. 2002European best practice guidelines for renal transplantation. Section IV: long-term management of the transplant recipient. IV. 6.1. Cancer risk after renal transplantation. Post-transplant lymphoproliferative disease (PTLD): prevention and treatmentNephrol Dial Transpl173536 EBPG Expert Group on Renal Transplantation. 2002European best practice guidelines for renal transplantation. Section IV: long-term management of the transplant recipient. IV. 6.1. Cancer risk after renal transplantation. Post-transplant lymphoproliferative disease (PTLD): prevention and treatmentNephrol Dial Transpl173536
5.
go back to reference Ifthikharuddin, JJ, Mieles, LA, Rosenblatt, JD, Ryan, CK, Sahasrabudhe, DM 2000CD-20 expression in post-transplant lymphoproliferative disorders: treatment with rituximabAm J Hematol65171173 Ifthikharuddin, JJ, Mieles, LA, Rosenblatt, JD, Ryan, CK, Sahasrabudhe, DM 2000CD-20 expression in post-transplant lymphoproliferative disorders: treatment with rituximabAm J Hematol65171173
6.
go back to reference Hachem, RR, Chakinala, MM, Yusen, RD, Lynch, JP, Aloush, AA, Patterson, GA, Trulock, EP 2004Abdominal-pelvic lymphoproliferative disease after lung transplantation: presentation and outcomeTransplantation77431437 Hachem, RR, Chakinala, MM, Yusen, RD, Lynch, JP, Aloush, AA, Patterson, GA, Trulock, EP 2004Abdominal-pelvic lymphoproliferative disease after lung transplantation: presentation and outcomeTransplantation77431437
7.
go back to reference Pickhardt, PJ, Siegel, MJ 1999Posttransplantation lymphoproliferative disorder of the abdomen: CT evaluation in 51 patientsRadiology2137378 Pickhardt, PJ, Siegel, MJ 1999Posttransplantation lymphoproliferative disorder of the abdomen: CT evaluation in 51 patientsRadiology2137378
8.
go back to reference Swinnen, LJ 2000Diagnosis and treatment of transplant-related lymphomaAnn Oncol114548 Swinnen, LJ 2000Diagnosis and treatment of transplant-related lymphomaAnn Oncol114548
9.
go back to reference Ramalingam, P, Chu, WS, Tubbs, R, Rybicki, L, Pettay, J, Hsi, ED 2003Latent membrane protein 1, tumor necrosis factor receptor-associated factor (TRAF) 1, TRAF-2, TRAF-3, and nuclear factor kappa B expression in posttransplantation lymphoproliferative disordersArch Pathol Lab Med12713351339 Ramalingam, P, Chu, WS, Tubbs, R, Rybicki, L, Pettay, J, Hsi, ED 2003Latent membrane protein 1, tumor necrosis factor receptor-associated factor (TRAF) 1, TRAF-2, TRAF-3, and nuclear factor kappa B expression in posttransplantation lymphoproliferative disordersArch Pathol Lab Med12713351339
10.
go back to reference Pinkerton, CR, Hann, I, Weston, CL, Mapp, T, Wotherspoon, A, Hobson, R, Kelly, DA, Vergani, D, Hadzic, D, Rees, L, Burke, M, Alero Thomas, J 2002Immunodeficiency-related lymphoproliferative disorders: prospective data from the RegistryBr J Haematol118456461 Pinkerton, CR, Hann, I, Weston, CL, Mapp, T, Wotherspoon, A, Hobson, R, Kelly, DA, Vergani, D, Hadzic, D, Rees, L, Burke, M, Alero Thomas, J 2002Immunodeficiency-related lymphoproliferative disorders: prospective data from the RegistryBr J Haematol118456461
11.
go back to reference Gulley, ML, Swinnen, LJ, Plaisance, KT,Jr, Schnell, C, Grogan, TM, Schneider, BG 2003Tumor origin and CD20 expression in posttransplant lymphoproliferative disorder occurring in solid organ transplant recipients: implications for immune-based therapyTransplantation76959964 Gulley, ML, Swinnen, LJ, Plaisance, KT,Jr, Schnell, C, Grogan, TM, Schneider, BG 2003Tumor origin and CD20 expression in posttransplant lymphoproliferative disorder occurring in solid organ transplant recipients: implications for immune-based therapyTransplantation76959964
Metadata
Title
Epstein-Barr Virus–Associated Lymphoproliferative Disorder Presenting as Apparently Isolated Gastrointestinal Lesions in Childhood
Authors
N.J. Sebire
M. Malone
R.A. Risdon
A.D. Ramsay
Publication date
01-02-2005
Publisher
Springer-Verlag
Published in
Pediatric and Developmental Pathology / Issue 1/2005
Print ISSN: 1093-5266
Electronic ISSN: 1615-5742
DOI
https://doi.org/10.1007/s10024-004-3031-3

Other articles of this Issue 1/2005

Pediatric and Developmental Pathology 1/2005 Go to the issue

OriginalPaper

ANNOUNCEMENTS