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Published on: June 14, 2020
Indication for tonsillectomy in pediatric patients with suspected post-transplant lymphoproliferative disorder
Juan P García Arteaga1, María S Cardozo1, Cecilia S Pastore1
1Department of Ear, Nose and Throat, Hospital de Pediatría S.A.M.I.C. Prof. Dr. Juan P. Garrahan, City of Buenos Aires, Argentina.
Insights
Post-transplant lymphoproliferative disorders (PTLD) can affect palatine tonsils. This study details clinical features of pediatric transplant recipients who had tonsillectomies to diagnose PTLD, despite common tonsillar hypertrophy.
Area of Science:
- Pediatric transplantation
- Immunology
- Oncology
Background:
- Palatine tonsils are a frequent site for lymphoid hyperplasia in post-transplant lymphoproliferative disorders (PTLD).
- Tonsillar hypertrophy is common in children, potentially masking PTLD and delaying diagnosis.
- Early PTLD detection is crucial for patient outcomes in pediatric transplant recipients.
Abstract:
A common site of lymphoid hyperplasia in post-transplant lymphoproliferative disorders (PTLD) is the palatine tonsils. However, tonsillar hypertrophy is extremely common in children, which hinders the suspicion of PTLD. A case series of transplanted patients undergoing tonsillectomy for suspected PTLD was conducted at a tertiary care children's hospital in Argentina between January 2014 and December 2021. The objective of this study is to expose the clinical characteristics of transplanted patients who underwent a tonsillectomy to diagnose PTLD.
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