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Risk of lymphoma subtypes after solid organ transplantation in the United States
Filetype[PDF - 182.41 KB]


Details:
  • Pubmed ID:
    23756857
  • Pubmed Central ID:
    PMC3708563
  • Description:
    Background:

    Solid organ transplant recipients have high risk of lymphomas, including non-Hodgkin lymphoma (NHL) and Hodgkin lymphoma (HL). A gap in our understanding of post-transplant lymphomas involves the spectrum and associated risks of their many histologic subtypes.

    Methods:

    We linked nationwide data on solid organ transplants from the US Scientific Registry of Transplant Recipients (1987–2008) to 14 state and regional cancer registries, yielding 791 281 person-years of follow-up for 19 distinct NHL subtypes and HL. We calculated standardised incidence ratios (SIRs) and used Poisson regression to compare SIRs by recipient age, transplanted organ, and time since transplantation.

    Results:

    The risk varied widely across subtypes, with strong elevations (SIRs 10–100) for hepatosplenic T-cell lymphoma, Burkitt's lymphoma, NK/T-cell lymphoma, diffuse large B-cell lymphoma, and anaplastic large-cell lymphoma (both systemic and primary cutaneous forms). Moderate elevations (SIRs 2–4) were observed for HL and lymphoplasmacytic, peripheral T-cell, and marginal zone lymphomas, but SIRs for indolent lymphoma subtypes were not elevated. Generally, SIRs were highest for younger recipients (<20 years) and those receiving organs other than kidneys.

    Conclusion:

    Transplant recipients experience markedly elevated risk of a distinct spectrum of lymphoma subtypes. These findings support the aetiologic relevance of immunosuppression for certain subtypes and underscore the importance of detailed haematopathologic workup for transplant recipients with suspected lymphoma.

  • Document Type:
  • Collection(s):
  • Funding:
    1U58 DP000807-01/DP/NCCDPHP CDC HHS/United States
    5658DP000805-04/DP/NCCDPHP CDC HHS/United States
    5U58/DP000808-05/DP/NCCDPHP CDC HHS/United States
    5U58DP000812-03/DP/NCCDPHP CDC HHS/United States
    5U58DP000817-05/DP/NCCDPHP CDC HHS/United States
    5U58DP000824-04/DP/NCCDPHP CDC HHS/United States
    HHSH234200537009C/PHS HHS/United States
    HHSH250201000018C/PHS HHS/United States
    HHSN261201000024C/PHS HHS/United States
    HHSN261201000026C/PHS HHS/United States
    HHSN261201000027C/PHS HHS/United States
    HHSN261201000032C/PHS HHS/United States
    HHSN261201000034C/PHS HHS/United States
    HHSN261201000035C/PHS HHS/United States
    HHSN261201000037C/PHS HHS/United States
    HHSN261201000040C/PHS HHS/United States
    K07 CA140360/CA/NCI NIH HHS/United States
    N01-PC-35137/PC/NCI NIH HHS/United States
    N01-PC-35139/PC/NCI NIH HHS/United States
    N01-PC-35142/PC/NCI NIH HHS/United States
    N01-PC-35143/PC/NCI NIH HHS/United States
    N01-PC-54405/PC/NCI NIH HHS/United States
    U58DP000832/DP/NCCDPHP CDC HHS/United States
    U58DP000848-04/DP/NCCDPHP CDC HHS/United States
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