Abstract
We report a case of post-transplantation lymphoproliferative disorder presenting as a symptomatic lymphocele 12 years after cadaveric renal transplantation for IgA nephropathy. The presentation, imaging, and management are discussed. We review current literature concerning PTLD, post-transplantation lymphoceles, and state-of-the-art imaging techniques.
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References
Li PK, Tsang K, Szeto CC et al (1998) Effective treatment of high-grade lymphoproliferative disorder after renal transplantation using autologous lymphocyte activated killer cell therapy. Am J Kidney Dis 32(5):813–819
Kew CE, Lopez-Ben R, Smith JK et al (2000) Post-transplant lymphoprolierative disorder localized near the allograft in renal transplants. Transplantation 69(5):809–814
Pickhardt PJ, Siegel MJ (1999) Post-transplant lymphoproliferative disorders of the abdomen. CT evaluation in 51 patients. Radiology 213(1):73–78
Ali MG, Croakley FV, Hricak H et al (1999) Complex post-transplantation abnormalities of renal allografts: evaluation with MR imaging. Radiology 213(1):95–100
Gulley ML, Swinnen LJ, Plaisance KT Jr (2003) Tumor origin and CD20 expression in post-transplant lymphoproliferative disorder occurring in solid organ transplant recipients: implications for immune-based therapy. Transplantation 76(6):959–964
Mamzer-Bruneel MF, Lome C, Morelon E et al (2000) Durable remission after aggressive chemotherapy for very late post-kidney lymphoproliferation: a report of 16 cases observed in a single center. J Clin Oncol 18(21):3622–3632
Birkeland SA, Hamilton-Dutoit S, Bendtzen K (2003) Long-term follow-up of kidney transplant patients with posttransplant lymphoproliferative disorder: duration of posttransplant lymphoproliferative disorder-induced operational graft tolerance, interleukin-18 course, and results of retransplantation. Transplantation 76(1):153–158
Hamza A, Fischer K, Koch E et al (2006) Diagnostics and therapy of lymphoceles after kidney transplantation. Transplant Proc 38(3):701–706
Smyth GP, Beitz G, Eng MP et al (2006) Long-term outcome of cadaveric renal transplants after treatment of symptomatic lymphocele. J Urol 176(3):1069–1072
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Khan, M.S., Ahmed, S., Challacombe, B. et al. Post-transplant lymphoproliferative disorder (PTLD) presenting as painful lymphocele 12 years after a cadaveric renal transplant. Int Urol Nephrol 40, 547–550 (2008). https://doi.org/10.1007/s11255-008-9367-2
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DOI: https://doi.org/10.1007/s11255-008-9367-2