Benign lymphoproliferative disorders in the immunosuppressed patient: an update

医学 淋巴增殖性病變 淋巴增殖性疾病 淋巴瘤 免疫抑制 自身免疫性淋巴增生综合征 病理 皮肤病科
作者
Liam Robinson,Felipe Paiva Fonseca,W.F.P. Van Heerden
出处
期刊:Journal of Oral Pathology & Medicine [Wiley]
卷期号:50 (6): 540-547
标识
DOI:10.1111/jop.13204
摘要

Abstract Immunosuppressed patients may be affected by a wide range of lymphoproliferative disorders (LPDs) ranging from self‐limiting disorders to malignant lymphoid proliferations. These LPDs may be associated with systemic immune disorders, develop following organ transplantation or occur in the background of other forms of iatrogenic immunosuppression. Lymphotropic viruses, including Epstein‐Barr virus (EBV) and human herpesvirus‐8 (HHV8), have been associated with the pathogenesis of distinct LPDs. The resulting classification of this group of disorders is very complex and inconsistent, with several new and emerging entities. Consequently, the diagnosis of an LPD, especially in an immunosuppressed patient, and its subsequent clinical management usually represent an important pitfall in daily clinical and pathology work. Therefore, the aim of this review was to use the available literature to describe the clinicopathological features of the most important benign LPDs that may be diagnosed in the head and neck region of immunosuppressed patients. Original clinical and microscopic images were used to illustrate some of these entities.

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