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Posttransplant cutaneous lymphoma

J M McGregor1, C C Yu, Q L Lu

  • 1Department of Dermatology, Guy's Hospital, London, UK.

Journal of the American Academy of Dermatology
|October 1, 1993
PubMed
Summary
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Epstein-Barr virus (EBV) is linked to posttransplant lymphoma. This study found EBV-associated B-cell lymphoma in three of four primary cutaneous lymphoma cases, suggesting a role in immunosuppressed patients.

Area of Science:

  • Oncology
  • Virology
  • Dermatology

Background:

  • Posttransplant lymphoma is frequently associated with Epstein-Barr virus (EBV) infection.
  • Primary cutaneous lymphoma is a rare manifestation.
  • EBV-associated lymphomas often affect extranodal sites.

Purpose of the Study:

  • To determine the cell lineage of primary cutaneous lymphomas in posttransplant patients.
  • To investigate the association with Epstein-Barr virus (EBV) in these cases.

Main Methods:

  • Analysis of tumor tissue using light microscopy.
  • Immunohistochemistry and in situ hybridization techniques.
  • Polymerase chain reaction (PCR) for EBV detection.

Main Results:

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  • Three cases were diagnosed as EBV-associated cutaneous B-cell lymphoma.
  • One case was identified as cutaneous T-cell lymphoma, not associated with EBV.
  • Patients with B-cell lymphoma showed no extracutaneous spread during follow-up; the T-cell lymphoma patient experienced fatal cerebral involvement.

Conclusions:

  • Epstein-Barr virus (EBV) infection may play a role in the development of cutaneous B-cell lymphoma in immunosuppressed individuals.
  • Cutaneous lymphomas in transplant recipients warrant careful evaluation for EBV association and cell lineage.