A Rare Case of Classical Hodgkin Lymphoma Diagnosed 10 Years after Liver Transplant

Posttransplant lymphoproliferative disorders (PTLD) represent a rare and potentially life-threatening complication after liver transplantation. Classical Hodgkin lymphoma (cHL), with an incidence of approximately 1.8–3.4% of all PTLD cases, represents a minority of PTLD, mainly presenting as a late...

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Main Authors: L. Zhang, R. Pereira Mestre, F. Bihl, M. Bühler, B. Vannata, A. Stathis
Format: Article
Language:English
Published: Karger Publishers 2017-10-01
Series:Case Reports in Oncology
Subjects:
Online Access:https://www.karger.com/Article/FullText/481452
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author L. Zhang
R. Pereira Mestre
F. Bihl
M. Bühler
B. Vannata
A. Stathis
author_facet L. Zhang
R. Pereira Mestre
F. Bihl
M. Bühler
B. Vannata
A. Stathis
author_sort L. Zhang
collection DOAJ
description Posttransplant lymphoproliferative disorders (PTLD) represent a rare and potentially life-threatening complication after liver transplantation. Classical Hodgkin lymphoma (cHL), with an incidence of approximately 1.8–3.4% of all PTLD cases, represents a minority of PTLD, mainly presenting as a late transplant complication. The main risk factors for the development of PTLD are Epstein-Barr virus (EBV) infection and intensive immunosuppression. However, other risk factors like hepatitis C virus may, together with EBV infection, contribute to the development of PTLD. Here we present a case of late-onset EBV-positive cHL that occurred 10 years after an unrelated donor liver transplantation. To our knowledge, this is the first report of cHL occurring with such a long interval after liver transplantation. Given the low incidence of cHL PTLD, there is little information regarding pathology, clinical characteristics, and management of this disease. The development of individual, risk-adapted treatments may improve the long-term outcome of cHL PTLD.
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spelling doaj.art-c20d26242c9c421a86fb8a908376e2932022-12-22T02:55:56ZengKarger PublishersCase Reports in Oncology1662-65752017-10-0110392392710.1159/000481452481452A Rare Case of Classical Hodgkin Lymphoma Diagnosed 10 Years after Liver TransplantL. ZhangR. Pereira MestreF. BihlM. BühlerB. VannataA. StathisPosttransplant lymphoproliferative disorders (PTLD) represent a rare and potentially life-threatening complication after liver transplantation. Classical Hodgkin lymphoma (cHL), with an incidence of approximately 1.8–3.4% of all PTLD cases, represents a minority of PTLD, mainly presenting as a late transplant complication. The main risk factors for the development of PTLD are Epstein-Barr virus (EBV) infection and intensive immunosuppression. However, other risk factors like hepatitis C virus may, together with EBV infection, contribute to the development of PTLD. Here we present a case of late-onset EBV-positive cHL that occurred 10 years after an unrelated donor liver transplantation. To our knowledge, this is the first report of cHL occurring with such a long interval after liver transplantation. Given the low incidence of cHL PTLD, there is little information regarding pathology, clinical characteristics, and management of this disease. The development of individual, risk-adapted treatments may improve the long-term outcome of cHL PTLD.https://www.karger.com/Article/FullText/481452Hodgkin lymphomaPosttransplant lymphoproliferative disordersTransplantationHepatitis C virusEpstein-Barr virusImmunosuppression
spellingShingle L. Zhang
R. Pereira Mestre
F. Bihl
M. Bühler
B. Vannata
A. Stathis
A Rare Case of Classical Hodgkin Lymphoma Diagnosed 10 Years after Liver Transplant
Case Reports in Oncology
Hodgkin lymphoma
Posttransplant lymphoproliferative disorders
Transplantation
Hepatitis C virus
Epstein-Barr virus
Immunosuppression
title A Rare Case of Classical Hodgkin Lymphoma Diagnosed 10 Years after Liver Transplant
title_full A Rare Case of Classical Hodgkin Lymphoma Diagnosed 10 Years after Liver Transplant
title_fullStr A Rare Case of Classical Hodgkin Lymphoma Diagnosed 10 Years after Liver Transplant
title_full_unstemmed A Rare Case of Classical Hodgkin Lymphoma Diagnosed 10 Years after Liver Transplant
title_short A Rare Case of Classical Hodgkin Lymphoma Diagnosed 10 Years after Liver Transplant
title_sort rare case of classical hodgkin lymphoma diagnosed 10 years after liver transplant
topic Hodgkin lymphoma
Posttransplant lymphoproliferative disorders
Transplantation
Hepatitis C virus
Epstein-Barr virus
Immunosuppression
url https://www.karger.com/Article/FullText/481452
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