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Published on: September 6, 2017
Plasma cell diseases and organ transplant: A comprehensive review
Andrew J Cowan1,2, Christopher K Johnson3, Edward N Libby1,2
1Division of Medical Oncology, University of Washington, Seattle, WA, USA.
Insights
Plasma cell diseases can impact organ transplantation, either preceding or following the procedure. Managing these hematologic conditions is crucial for successful organ transplant outcomes.
Area of Science:
- Hematology
- Transplant Medicine
- Oncology
Background:
- Plasma cell diseases are hematologic disorders.
- These conditions can be pre-existing or arise post-transplant.
- They can be a cause or complication of organ failure.
Purpose of the Study:
- To review common plasma cell diseases in organ transplant patients.
- To discuss their role as a pre-existing diagnosis, cause of organ failure, or post-transplant complication.
- To provide current management data for transplant providers.
Main Methods:
- Literature review of plasma cell diseases and organ transplantation.
- Analysis of the role of clonal diseases in organ failure.
- Synthesis of management strategies for transplant patients.
Main Results:
- Plasma cell diseases present unique challenges in organ transplantation.
- Treatment of the underlying clonal disease is often necessary before transplant.
- These diseases can occur before, during, or after organ transplantation.
Conclusions:
- Effective management of plasma cell diseases is vital for transplant success.
- Transplant providers need updated information on these conditions.
- Further research may optimize care for patients with plasma cell diseases and organ failure.
Abstract:
Plasma cell diseases are a class of hematologic diseases that are sometimes present as preexisting diagnoses prior to organ transplantation, causative factors leading to a need for organ transplantation, or may occur posttransplant as part of the spectrum of posttransplant lymphoproliferative disorders. Herein, we review the most common plasma cell diseases, both as coexisting with other causes of organ failure, but also as a primary underlying cause for organ failure. In many cases, treatment of the underlying clonal disease may be indicated before proceeding with organ transplant. This review aims to provide current and relevant data regarding the management of these conditions in the organ transplant patient, for transplant providers, and those who take care of these patients.
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