Lymphoproliferative Disease After Lung Transplantation in Transplanted Lung.
- Author:
Kyo Jun LEE
1
;
Do Hyung KIM
;
Suk Jin HAM
;
Hae Kyoon KIM
Author Information
1. Department of Thoracic & Cardiovascular Surgery, Yongdong Severance Hospital, Yonsei University, Korea.
- Publication Type:Case Report
- Keywords:
Lung transplantation;
Lymphoproliferative disorders;
Postoperative complications
- MeSH:
Azathioprine;
Biopsy;
Drug Therapy;
Dyspnea;
Female;
Follow-Up Studies;
Heart;
Humans;
Immunosuppression;
Lung Transplantation*;
Lung*;
Lymphoma;
Lymphoproliferative Disorders;
Organ Transplantation;
Postoperative Complications;
Prognosis;
Pulmonary Edema;
Pulmonary Emphysema;
Transplants
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2001;34(12):956-959
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The lymphoproliferative disease after the organ transplantation is more commonly seen with the increase according to the increasing number of the organ transplantations and it occurs more frequently in the cases of heart and lung transplantations that needs more aggressive immunosuppression. It demands urgent evaluation and management because of poor prognosis. We transplanted left lung of a man to the woman who suffered from severe dyspnea due to terminal pulmonary emphysema in discrepancy of ABO blood type. Postoperatively, We used triple regimen immunotherapy(cyclosporin, azathioprine, prednisolone) and followed up in the out patient clinic. During the follow up, we found abnormal mass lesion on the transplanted lung and performed gun biopsy. We confirmed malignant lymphoma on the pathologic examination and two cycled chemotherapy was given after reducing dose of immunosupression. The patient died of sudden onset of pulmonary edema of the transplanted lung.
