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Primary post-transplant lymphoproliferative disorder of the central nervous system: characteristics, management and outcome in 25 paediatric patients

MM. Taj, B. Maecker-Kolhoff, R. Ling, S. Bomken, B. Burkhardt, AKS. Chiang, M. Csoka, A. Füreder, S. Haouy, J. Lazic, N. Miakova, V. Minard-Colin, SD. Turner, A. Uyttebroeck, A. Attarbaschi, European Intergroup for Childhood Non-Hodgkin's...

. 2021 ; 193 (6) : 1178-1184. [pub] 20210325

Language English Country Great Britain

Document type Clinical Trial, Journal Article, Multicenter Study

Primary central nervous system (CNS) post-transplant lymphoproliferative disorder (PTLD) in childhood is rare. Twenty-five patients were retrieved from nine European Intergroup for Childhood Non-Hodgkin's Lymphoma and/or international Berlin-Frankfurt-Münster Study Group members. Types of allografts included kidney (n = 11), liver (n = 4), heart (n = 5), bowel (n = 1) and haematopoietic stem cells (n = 4). Eighteen were male, 16 ≥ 10 years old, 21 had monomorphic disease and 24 solid intracranial tumour masses. Four-year event-free and overall survival rates were 50% ± 10% and 74% ± 9% respectively. This report represents the largest paediatric series of CNS PTLD reported to date, showing favourable survival odds following systemic and intrathecal chemotherapy and rituximab administration.

2nd Department of Pediatrics Semmelweis University Budapest Hungary

Central European Institute of Technology Masaryk University Brno Czech Republic

Department of Pathology Division of Cellular and Molecular Pathology University of Cambridge Cambridge UK

Department of Pediatric and Adolescent Oncology INSERM U1015 Gustave Roussy Université Paris Sacaly University Villejuif France

Department of Pediatric Hematology and Oncology Centre Hospitalier Universitaire de Montpellier Montpellier France

Department of Pediatric Hematology and Oncology Federal Center for Pediatric Hematology Oncology and Immunology Moscow Russia

Department of Pediatric Hematology and Oncology Hannover Medical School Hannover Germany

Department of Pediatric Hematology and Oncology Royal Marsden Hospital NHS Foundation Trust London UK

Department of Pediatric Hematology and Oncology St Anna Children's Hospital Medical University of Vienna Vienna Austria

Department of Pediatric Hematology and Oncology University Children's Hospital School of Medicine University of Belgrade Belgrade Serbia

Department of Pediatric Hematology and Oncology University Hospital Leuven Leuven Belgium

Department of Pediatric Hematology and Oncology University of Münster Münster Germany

Department of Pediatrics and Adolescent Medicine Li Ka Shing Faculty of Medicine The University of Hong Kong Queen Mary Hospital Pokfulam Hong Kong

MRC Weatherall Institute of Molecular Medicine University of Oxford John Radcliffe Hospital Oxford UK

Wolfson Childhood Cancer Research Center Translational and Clinical Research Institute Newcastle University Newcastle upon Tyne UK

References provided by Crossref.org

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