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KCI 후보
증례 / 간이식 환자에게서 발생한 이식 후 림프세포 증식성 질환 2예
Case Report : Two cases of posttransplantation lymphoproliferative disorders in recipients of liver transplantation.
백경란(Kyong Ran Peck),박정호(Jung Ho Park),박상종(Sang Jong Park),김춘관(Chun Kwan Kim),이혁(Hyuck Lee),김성민(Sung Min Kim),송재훈(Jae Hoon Song),김성주(Sung Joo Kim),조재원(Jae Won Joh),이석구(Suk Koo Lee),고영혜(Young Hyeh Ko)
UCI I410-ECN-0102-2009-510-004705789
이 자료는 4페이지 이하의 자료입니다.

The posttransplantation lymphoproliferative disorders (PTLD) are not rare complications of solid organ transplants. The incidence varies with the type of transplantation and the nature and intensity of the immunosuppressive regimens. PTLDs are unique in that they have a predilection for extranodal sites, a strong and probably causal association with Ebstein-Barr virus infection, and a poor response to the cytolytic chemotherapeutic or irradiation regimens used for treatment of malignant lymphoma. The outcomes of treatment have been disappointing, with mortality from PTLD or related complications of over 50% of patients. We experienced two cases of PTLDs in liver transplant recipients presenting with liver mass and intraabdominal lymphadenopathy. PTLDs were diagnosed by autopsy and a liver biopsy. In the case diagnosed by a liver biopsy, EBV was detected by in situ hybridization. Despite reduction of immunosuppression and conservative management, both patients died.

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