Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2002-4-16
pubmed:abstractText
Hepatosplenic gammadelta-T-cell lymphoma (HSTCL) is a rare extranodal T-cell non-Hodgkin's lymphoma (T-NHL) with only 46 well-documented cases in medical literature. Notably, a relatively high number of these case reports (15%) describe the occurrence of HSTCL after solid organ transplantation. We describe the case of a 45-year-old man who developed a leukemic HSTCL 5 years after renal transplantation and continous immunosuppression with cyclosporine A and prednisolone. After a rapid clinical course, the patient died and autopsy was performed. The malignant lymphocytes showed a natural killer-like gammadelta-T-cell phenotype (CD2(+), CD3(+), CD7(+), TCR gammadelta(+), CD56(+), TIA-1(+), CD4(-), CD8(-), and TCR alphabeta(-)) and infiltrated the sinusoids of liver and the red pulp of the spleen. Cytogenetically, an isochromosome 7q, trisomy 8, Y-loss, and a translocation t(1;4) was detectable. This case shows the difficulties of recognizing HSTCL early in the clinical course and underlines that all types of T-NHL, nodal as well as extranodal, have to be considered in the differential diagnosis of posttransplantation lymphoproliferative disorders. Moreover, HSTCL seems to occur as a specific late complication of solid organ transplantation.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0046-8177
pubmed:author
pubmed:copyrightInfo
Copyright 2002, Elsevier Science (USA). All rights reserved.
pubmed:issnType
Print
pubmed:volume
33
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
253-8
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:11957154-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:11957154-Cadaver, pubmed-meshheading:11957154-Chromosomes, Human, Pair 7, pubmed-meshheading:11957154-Fatal Outcome, pubmed-meshheading:11957154-Flow Cytometry, pubmed-meshheading:11957154-Humans, pubmed-meshheading:11957154-Immunophenotyping, pubmed-meshheading:11957154-Isochromosomes, pubmed-meshheading:11957154-Karyotyping, pubmed-meshheading:11957154-Kidney Transplantation, pubmed-meshheading:11957154-Leukemia-Lymphoma, Adult T-Cell, pubmed-meshheading:11957154-Liver Neoplasms, pubmed-meshheading:11957154-Lymphoma, T-Cell, pubmed-meshheading:11957154-Male, pubmed-meshheading:11957154-Middle Aged, pubmed-meshheading:11957154-Polymerase Chain Reaction, pubmed-meshheading:11957154-Receptors, Antigen, T-Cell, gamma-delta, pubmed-meshheading:11957154-Splenic Neoplasms
pubmed:year
2002
pubmed:articleTitle
Hepatosplenic gammadelta-T-cell lymphoma with leukemic course after renal transplantation.
pubmed:affiliation
Division of Haematology and Oncology, University Hospital Innsbruck, Austria.
pubmed:publicationType
Journal Article, Case Reports