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PERIPHERAL T-CELL LYMPHOMA: A POSTTRANSPLANT LYMPHOPROLIFERATIVE DISORDER PRESENTING AS A JEJUNAL MASS IN A RENAL TRANSPLANT RECIPIENT

AANCHAL KAKKAR, IMMANUEL PRADEEP, GEETİKA SİNGH, AMİT DİNDA, SANJAY K AGARWAL

Experimental and Clinical Transplantation - 2018;16(5):617-619

Departments of Pathology and Nephrology, All India Institute of Medical Sciences, New Delhi, India

 

Posttransplant lymphoproliferative disorders are a spectrum of lymphoproliferative disorders seen in recipients of solid-organ, bone marrow, and stem cell allografts. They include polyclonal early lesions mimicking infectious mononucleosis and monoclonal proliferations of B and T cells, indistinguishable from lymphomas occurring in immunocompetent individuals. Although most posttransplant lymphoproliferative disorders are B-cell neoplasms, T-cell posttransplant lymphoproliferative disorders are very rare. Among solid-organ transplants, renal allografts have low risk for development of posttransplant lymphopro­liferative disorders. We describe the case of an adult male who developed a T-cell posttransplant lympho­proliferative disorder involving the small intestine after renal transplant, which was diagnosed as peripheral T-cell lymphoma, not otherwise specified.