Table 1 – WHO Classification of Posttransplant Lymphoproliferative Disorders
1) Early lesions – architectural preservation of the involved tissue, polyclonal nature, younger pts, and usual regression with withdrawal of immunosupression. a) Infectious mononucleosis b) Plasmacytic hyperplasia 2) PTLD Polymorphic – full range of B-cell maturation displayed, with effacement of tissue architecture and variable response to altered degree of immunosupression. a) Polyclonal (rare) b) Monoclonal (common) 3) PTLD, monomorphic (also classified as lymphomas) – overt monoclonal malignant lymphomas of B or T cell lineage, diagnosed by architectural and cytologic atypia, and clinical correlation. 4) Hodgkin lymphoma and Hodgkin lymphoma-like PTLD – seen in allogenic bone marrow transplantation |