요관 폐쇄에 의한 물콩팥증으로 발현한 이식후림프세포증식질환 1예A Case of Post-Transplant Lymphoproliferative Disorder Presenting with Hydronephrosis after Kidney Transplantation
- Other Titles
- A Case of Post-Transplant Lymphoproliferative Disorder Presenting with Hydronephrosis after Kidney Transplantation
- Authors
- 이용구; 박준성; 이창화; 김근호; 강종명; 박금찬
- Issue Date
- Aug-2007
- Publisher
- 대한신장학회
- Keywords
- Lymphoproliferative disorders; Hydronephrosis; Kidney transplantation; Lymphoproliferative disorders; Hydronephrosis; Kidney transplantation
- Citation
- Kidney Research and Clinical Practice, v.26, no.5, pp.651 - 656
- Indexed
- KCI
- Journal Title
- Kidney Research and Clinical Practice
- Volume
- 26
- Number
- 5
- Start Page
- 651
- End Page
- 656
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/179687
- ISSN
- 2211-9132
- Abstract
- Lymphoproliferative disorders are among the most serious and potentially fatal complications of chronic immunosuppression in organ transplant recipients. Post-transplant lymphoproliferative disorder (PTLD) is the second common malignancy occurring in patients with kidney transplantation and has a high mortality rate. The pathogenesis of PTLD in most cases appears to be related to B cell proliferation induced by infection with Epstein-Barr virus (EBV) in the setting of chronic immunosuppression. The PTLD may present a solitary tumor around the hilum of transplant kidney, but it may not by easily considered as the cause of hydronephrosis in transplant kidney because the prevalence of PTLD is low and surgical complications such as lymphocele, stricture and hematoma that obstruct the transplant ureter are much more common. Early detection is important because reduction of immunosuppressive agents may reverse progression of the disease. Furthermore, several effective treatment options were recently introduced. Here we report a case of PTLD presenting with hydronephrosis, which was completely resolved by a multimodality therapeutic approach.
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