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Prognosis - Posttransplantation Tumors

Determination of Tumor Origin Provides Treatment Strategies

Published in Cancer Weekly, July 31st, 1995

Use of PCR analysis to determine tumor origin in solid organ transplantation recipients has prognostic and therapeutic implications.

The majority of posttransplantation lymphoproliferative disorders (PTLDs) in bone marrow allograft recipients tend to be of donor origin as the host lymphoid system tends to be ablated by conditioning regimens. However, as few donor lymphoid cells are transferred with a solid organ allograft, it seems that the majority of PTLDs in these patients should be of host origin. The few histological studies done support this trend.

It has been noted, however, that many PTLDs appear preferentially to involve the allograft. ...

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