Post-transplant lymphoproliferative disorder of the adrenal gland after allogeneic hematopoietic stem cell transplantation: Report of two cases and literature review

H. Kasahara, Takehiko Mori, Jun Kato, Yuya Koda, S. Kohashi, Taku Kikuchi, Masatoshi Sakurai, Y. Yamane, Shuji Mikami, Kaori Kameyama, Y. Takahashi, Shinichiro Okamoto

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1 Citation (Scopus)

Abstract

Post-transplant lymphoproliferative disorder (PTLD) is one of the life-threatening complications after hematopoietic stem cell transplantation (HSCT) and solid organ transplantation (SOT), and it is associated almost exclusively with Epstein-Barr virus (EBV). We herein report 2 cases of EBV-associated PTLD after allogeneic HSCT localized in the adrenal gland. Both patients developed adrenal tumor within 3 months after HSCT and were successfully treated with rituximab or tapering immunosuppressive agents. Both remained alive without recurrence. A literature review revealed 12 reported cases of PTLD involving the adrenal gland, but the adrenal gland was involved as one of the lesions of advanced-stage PTLD after SOT. To the best of our knowledge, this is the first report to show cases of isolated EBV-associated adrenal PTLD after HSCT. PTLD should be recognized as one of the causes of isolated adrenal tumor after HSCT.

Original languageEnglish
Pages (from-to)909-914
Number of pages6
JournalTransplant Infectious Disease
Volume17
Issue number6
DOIs
Publication statusPublished - 2015 Dec 1

Fingerprint

Lymphoproliferative Disorders
Hematopoietic Stem Cell Transplantation
Adrenal Glands
Transplants
Human Herpesvirus 4
Glandular and Epithelial Neoplasms
Organ Transplantation
Immunosuppressive Agents
Recurrence

Keywords

  • Adrenal gland
  • Allogeneic hematopoietic stem cell transplantation
  • Epstein-Barr virus
  • Post-transplant lymphoproliferative disorder
  • Rituximab

ASJC Scopus subject areas

  • Transplantation
  • Infectious Diseases

Cite this

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abstract = "Post-transplant lymphoproliferative disorder (PTLD) is one of the life-threatening complications after hematopoietic stem cell transplantation (HSCT) and solid organ transplantation (SOT), and it is associated almost exclusively with Epstein-Barr virus (EBV). We herein report 2 cases of EBV-associated PTLD after allogeneic HSCT localized in the adrenal gland. Both patients developed adrenal tumor within 3 months after HSCT and were successfully treated with rituximab or tapering immunosuppressive agents. Both remained alive without recurrence. A literature review revealed 12 reported cases of PTLD involving the adrenal gland, but the adrenal gland was involved as one of the lesions of advanced-stage PTLD after SOT. To the best of our knowledge, this is the first report to show cases of isolated EBV-associated adrenal PTLD after HSCT. PTLD should be recognized as one of the causes of isolated adrenal tumor after HSCT.",
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AU - Kasahara, H.

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AU - Kato, Jun

AU - Koda, Yuya

AU - Kohashi, S.

AU - Kikuchi, Taku

AU - Sakurai, Masatoshi

AU - Yamane, Y.

AU - Mikami, Shuji

AU - Kameyama, Kaori

AU - Takahashi, Y.

AU - Okamoto, Shinichiro

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N2 - Post-transplant lymphoproliferative disorder (PTLD) is one of the life-threatening complications after hematopoietic stem cell transplantation (HSCT) and solid organ transplantation (SOT), and it is associated almost exclusively with Epstein-Barr virus (EBV). We herein report 2 cases of EBV-associated PTLD after allogeneic HSCT localized in the adrenal gland. Both patients developed adrenal tumor within 3 months after HSCT and were successfully treated with rituximab or tapering immunosuppressive agents. Both remained alive without recurrence. A literature review revealed 12 reported cases of PTLD involving the adrenal gland, but the adrenal gland was involved as one of the lesions of advanced-stage PTLD after SOT. To the best of our knowledge, this is the first report to show cases of isolated EBV-associated adrenal PTLD after HSCT. PTLD should be recognized as one of the causes of isolated adrenal tumor after HSCT.

AB - Post-transplant lymphoproliferative disorder (PTLD) is one of the life-threatening complications after hematopoietic stem cell transplantation (HSCT) and solid organ transplantation (SOT), and it is associated almost exclusively with Epstein-Barr virus (EBV). We herein report 2 cases of EBV-associated PTLD after allogeneic HSCT localized in the adrenal gland. Both patients developed adrenal tumor within 3 months after HSCT and were successfully treated with rituximab or tapering immunosuppressive agents. Both remained alive without recurrence. A literature review revealed 12 reported cases of PTLD involving the adrenal gland, but the adrenal gland was involved as one of the lesions of advanced-stage PTLD after SOT. To the best of our knowledge, this is the first report to show cases of isolated EBV-associated adrenal PTLD after HSCT. PTLD should be recognized as one of the causes of isolated adrenal tumor after HSCT.

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KW - Post-transplant lymphoproliferative disorder

KW - Rituximab

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