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Title

POSTTRANSPLANT LYMPHOPROLIFERATIVE DISORDERS IN KIDNEY TRANSPLANT RECIPIENTS AN IRANIAN MULTICENTER EXPERIENCE

Pages

  227-233

Abstract

 Introduction. Limited data with adequate sample size exist on the development of post transplant lymphoproliferative disorder (PTLD) in living donor kidney recipients. We conducted a retrospective cohort study on the data of 10 transplant centers to identify the incidence of PTLD in IRAN.Materials and Methods. Data of 9917 kidney transplant recipients who received their kidneys between 1984 and 2008 were reviewed. Fifty-one recipients (0.5%) who developed PTLD were evaluated with a median follow-up of 47.5 months (range, 1 to 211) months. Results. Patients with PTLD represented 24% of all post transplant malignancies (51 out of 211 cases). There was no relationship between PTLD and sex (P = .20). There were no statistically significance differences considering the age at transplantation between patients with and without PTLD. The late-onset PTLD (70.6%) occurred more frequently compared to the early form. There was no signification relationship between early-onset and late-onset groups in terms of clinical course and outcome. In patients who received azathioprine, PTLD was more frequent when compared to those who received mycophenolate mofetil (P < .001). The lymph nodes were the predominantly involved site (35.3%), followed by the gastrointestinal tract, brain, kidney allograft, lung, ovary, vertebrae, and palatine. Age at diagnosis and the time from transplantation to diagnosis were comparable for various involvement sites of PTLDs. The overall mortality in this series of patients was 51.0%.Conclusions. Posttransplant lymphoproliferative disorder is a rare but devastating complication and long-term prognosis can be improved with early recognition and appropriate therapy.

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    APA: Copy

    EYN ELAHI, BEHZAD, LESANPEZESHKI, M., NOURBALA, M.H., SIMFOROOSH, N., POURFARZIANI, V., NEMATI, EGHLIM, NAFAR, MOHSEN, BASIRI, ABAS, POURREZA GHOLI, F., FIROUZAN, A., GHADYANI, M.H., MAKHDOUMI, KH., GHAFARI, ALI, AHMADPOUR, PEDRAM, OULIAEI, F., ARDALAN, M.R., MAKHLOUGH, A., SAMI MAGHAM, H.R., AZMANDIAN, J., RAZEGHI, E., & SHAHBAZIAN, H.A.. (2008). POSTTRANSPLANT LYMPHOPROLIFERATIVE DISORDERS IN KIDNEY TRANSPLANT RECIPIENTS AN IRANIAN MULTICENTER EXPERIENCE. IRANIAN JOURNAL OF KIDNEY DISEASES (IJKD), 2(4), 227-233. SID. https://sid.ir/paper/308711/en

    Vancouver: Copy

    EYN ELAHI BEHZAD, LESANPEZESHKI M., NOURBALA M.H., SIMFOROOSH N., POURFARZIANI V., NEMATI EGHLIM, NAFAR MOHSEN, BASIRI ABAS, POURREZA GHOLI F., FIROUZAN A., GHADYANI M.H., MAKHDOUMI KH., GHAFARI ALI, AHMADPOUR PEDRAM, OULIAEI F., ARDALAN M.R., MAKHLOUGH A., SAMI MAGHAM H.R., AZMANDIAN J., RAZEGHI E., SHAHBAZIAN H.A.. POSTTRANSPLANT LYMPHOPROLIFERATIVE DISORDERS IN KIDNEY TRANSPLANT RECIPIENTS AN IRANIAN MULTICENTER EXPERIENCE. IRANIAN JOURNAL OF KIDNEY DISEASES (IJKD)[Internet]. 2008;2(4):227-233. Available from: https://sid.ir/paper/308711/en

    IEEE: Copy

    BEHZAD EYN ELAHI, M. LESANPEZESHKI, M.H. NOURBALA, N. SIMFOROOSH, V. POURFARZIANI, EGHLIM NEMATI, MOHSEN NAFAR, ABAS BASIRI, F. POURREZA GHOLI, A. FIROUZAN, M.H. GHADYANI, KH. MAKHDOUMI, ALI GHAFARI, PEDRAM AHMADPOUR, F. OULIAEI, M.R. ARDALAN, A. MAKHLOUGH, H.R. SAMI MAGHAM, J. AZMANDIAN, E. RAZEGHI, and H.A. SHAHBAZIAN, “POSTTRANSPLANT LYMPHOPROLIFERATIVE DISORDERS IN KIDNEY TRANSPLANT RECIPIENTS AN IRANIAN MULTICENTER EXPERIENCE,” IRANIAN JOURNAL OF KIDNEY DISEASES (IJKD), vol. 2, no. 4, pp. 227–233, 2008, [Online]. Available: https://sid.ir/paper/308711/en

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