title: Early Post-transplant Lymphoproliferative Disease in the Donor Ureter Without Systemic Involvement: A Case Report.
abstract: BACKGROUND
  Post-transplant lymphoproliferative disease is a serious complication of renal transplantation. Major risk factors include Epstein-Barr virus (EBV) seronegativity and induction immunosuppression with lymphocyte-depleting agents.
  
  
  RESULTS
  We present a case of a 50-year year-old woman with very early onset PTLD confined to the donor ureter. Phenotypic studies on the tumor material reveal that the lymphoma was most likely of donor origin. A complete staging workup including the kidney allograft was negative for any other sites of involvement.
  
  
  CONCLUSIONS
  This case, which had a fatal outcome, emphasizes the risk of renal transplantation in BV-negative individuals when given induction with lymphocyte-depleting drugs.
authors.affiliation: Legacy Transplant Services, Legacy Good Samaritan Medical Center, Portland, Oregon, United States. Electronic address: bennettw@lhs.org.
authors.forename: W M
authors.initials: WM
authors.lastname: Bennett
authors.affiliation: Legacy Transplant Services, Legacy Good Samaritan Medical Center, Portland, Oregon, United States.
authors.forename: T D
authors.initials: TD
authors.lastname: Batiuk
authors.affiliation: Legacy Transplant Services, Legacy Good Samaritan Medical Center, Portland, Oregon, United States.
authors.forename: K M
authors.initials: KM
authors.lastname: McEvoy
authors.affiliation: Legacy Transplant Services, Legacy Good Samaritan Medical Center, Portland, Oregon, United States.
authors.forename: V
authors.initials: V
authors.lastname: Douzdjian
authors.affiliation: Legacy Pathology Services, Legacy Good Samaritan Medical Center, Portland, Oregon, United States.
authors.forename: J
authors.initials: J
authors.lastname: Hyde
authors.affiliation: Laboratory of Immunogenetics and Transplantation, Oregon Health & Science University, Portland, Oregon, United States.
authors.forename: C
authors.initials: C
authors.lastname: Shaut
authors.affiliation: Compass Oncology, Portland, Oregon, United States.
authors.forename: G M
authors.initials: GM
authors.lastname: Segal
mesh_terms: D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D008232:Lymphoproliferative Disorders / Q000175:diagnosis / Q000209:etiology*; D008875:Middle Aged; D013997:Time Factors; D014019:Tissue Donors; D014513:Ureter / Q000473:pathology*; D014515:Ureteral Diseases / Q000175:diagnosis / Q000209:etiology*