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Posttransplant Lymphoproliferative Diseases
Oleh:
Gross, Thomas G.
;
Savoldo, Barbara
;
Punnett, Angela
Jenis:
Article from Journal - ilmiah internasional
Dalam koleksi:
Pediatric Clinics of North America vol. 57 no. 02 (Apr. 2010)
,
page 481-503.
Topik:
Posttransplant lymphoproliferative disease
;
Pediatric
;
Solid organ transplantation
Ketersediaan
Perpustakaan FK
Nomor Panggil:
P13.K.2010.02
Non-tandon:
1 (dapat dipinjam: 0)
Tandon:
tidak ada
Lihat Detail Induk
Isi artikel
The risk of developing cancer after solid organ transplantation (SOT) is about 5- to 10-fold greater than that of the general population. The cumulative risk of cancer rises to more than 50% at 20 years after transplant and increases with age, and so children receiving transplants are at high risk of developing a malignancy. Posttransplant lymphoproliferative disease (PTLD) is the most common cancer observed in children following SOT, accounting for half of all such malignancies. PTLD is a heterogeneous group of disorders with a wide spectrum of pathologic and clinical manifestations and is a major contributor to long-term morbidity and mortality in this population. Among children, most cases are associated with Epstein-Barr virus infection. This article reviews the pathology, immunobiology, epidemiology, and clinical aspects of PTLD, underscoring the need for ongoing systematic study of complex biologic and therapeutic questions.
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