Login / Signup

[Post-transplant lymphoproliferative disorders].

Sabrina ForsellNoemie Lang
Published in: Revue medicale suisse (2023)
Post-transplant lymphoproliferative disorders (PTLD) represent a typical complication of transplant recipients. Their incidence varies according to the recipient's characteristics and the type of transplanted organ. Their pathogenesis is strongly related to a disbalance between reduced T-cell immune surveillance to avoid graft rejection, and the reactivation of the oncogenic Epstein-Barr virus (EBV) within B lymphocytes, leading to uncontrolled B-cell proliferation and malignant transformation. PTLD represent a spectrum of various histological entities with distinct prognosis. Clinical management mainly focuses on their surveillance and therapeutic strategy is risk-adapted. This review aims to shed light on these rare pathologies whose early detection could greatly improve the prognosis of transplant patients.
Keyphrases
  • epstein barr virus
  • diffuse large b cell lymphoma
  • cell proliferation
  • public health
  • end stage renal disease
  • newly diagnosed
  • ejection fraction
  • peritoneal dialysis
  • prognostic factors
  • peripheral blood