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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Karger Publishers
2017-10-01
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Series: | Case Reports in Oncology |
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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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issn | 1662-6575 |
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publishDate | 2017-10-01 |
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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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