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    EBV-positive B cell cerebral lymphoma 12 years after sex-mismatched kidney transplantation: post-transplant lymphoproliferative disorder or donor-derived lymphoma?

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    Authors
    Phelan, Paul J
    Murphy, Rory K J
    Farrell, Michael
    O'Toole, Orna
    Heffernan, Josie
    O'Brien, Donncha
    Breathnach, Oscar
    Conlon, Peter J
    Affiliation
    Department of Nephrology, Beaumont Hospital, Dublin, Ireland. paulphel@gmail.com
    Issue Date
    2010-06
    MeSH
    Adult
    Brain Neoplasms
    Chromosomes, Human, Y
    Epstein-Barr Virus Infections
    Female
    Herpesvirus 4, Human
    Humans
    In Situ Hybridization
    Kidney Transplantation
    Lymphoma, B-Cell
    Lymphoproliferative Disorders
    Male
    Middle Aged
    Time Factors
    Tissue Donors
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    Citation
    EBV-positive B cell cerebral lymphoma 12 years after sex-mismatched kidney transplantation: post-transplant lymphoproliferative disorder or donor-derived lymphoma? 2010, 25 (6):2032-5 Nephrol. Dial. Transplant.
    Journal
    Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association
    URI
    http://hdl.handle.net/10147/127086
    DOI
    10.1093/ndt/gfq170
    PubMed ID
    20348150
    Abstract
    We present a follow-up case report of possible transmission of lymphoma 12 years after deceased-donor renal transplantation from a male donor who was found at autopsy to have had an occult lymphoma. The female recipient underwent prompt transplant nephrectomy. However, 12 years later, she presented with cerebral B cell lymphoma. A donor origin for the cerebral lymphoma was supported by in situ hybridization demonstration of a Y chromosome in the lymphoma. There was a dramatic resolution of the cerebral lesions with tapering of immunosuppression and introduction of rituximab treatment. The finding of a Y chromosome in the cerebral lymphoma does not exclude a host contribution to lymphoma development.
    Item Type
    Article
    Language
    en
    ISSN
    1460-2385
    ae974a485f413a2113503eed53cd6c53
    10.1093/ndt/gfq170
    Scopus Count
    Collections
    Beaumont Hospital

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