Epstein-Barr virus-lymphoproliferative disease following T-cell-depleted allo-SCT
Patient no. . | Donor type . | EBV-LPD diagnosis . | Therapy . | Outcome . | ||||||
---|---|---|---|---|---|---|---|---|---|---|
Morphology4-150 . | Clonality . | Plasma EBV DNA (gEq/mL) . | SI . | Anti-CD20 . | DLI . | Response . | Survival, d . | COD . | ||
1 | Sib | III | Mono | 1 800 | + | − | + | PD | Dead | EBV-LPD |
2 | MUD | II | Poly | 92 000 | + | + | + | CR | Dead | GVHD |
3 | MUD | II | Poly | 6 500 | + | + | − | CR | Alive, 620+ | — |
4 | Sib | III | Mono | 790 000 | + | + | + | PD | Dead | EBV-LPD |
5 | Sib | III | Mono | 128 000 | + | + | − | CR | Alive, 351+ | — |
6 | Sib | II | Mono | 74 000 | + | + | − | CR | Dead | GVHD |
7 | MUD | III | Mono | 133 000 | + | + | + | PD | Dead | EBV-LPD |
8 | Sib | ND | Mono | 7 900 | + | − | − | PD | Dead | EBV-LPD |
9 | MUD | ND | ND | 310 000 | − | − | + | CR | Dead | GVHD |
10 | MUD | III | Mono | 206 000 | − | − | − | PD | Dead | EBV-LPD |
Patient no. . | Donor type . | EBV-LPD diagnosis . | Therapy . | Outcome . | ||||||
---|---|---|---|---|---|---|---|---|---|---|
Morphology4-150 . | Clonality . | Plasma EBV DNA (gEq/mL) . | SI . | Anti-CD20 . | DLI . | Response . | Survival, d . | COD . | ||
1 | Sib | III | Mono | 1 800 | + | − | + | PD | Dead | EBV-LPD |
2 | MUD | II | Poly | 92 000 | + | + | + | CR | Dead | GVHD |
3 | MUD | II | Poly | 6 500 | + | + | − | CR | Alive, 620+ | — |
4 | Sib | III | Mono | 790 000 | + | + | + | PD | Dead | EBV-LPD |
5 | Sib | III | Mono | 128 000 | + | + | − | CR | Alive, 351+ | — |
6 | Sib | II | Mono | 74 000 | + | + | − | CR | Dead | GVHD |
7 | MUD | III | Mono | 133 000 | + | + | + | PD | Dead | EBV-LPD |
8 | Sib | ND | Mono | 7 900 | + | − | − | PD | Dead | EBV-LPD |
9 | MUD | ND | ND | 310 000 | − | − | + | CR | Dead | GVHD |
10 | MUD | III | Mono | 206 000 | − | − | − | PD | Dead | EBV-LPD |
gEq/mL indicates genome equivalents of EBV DNA/mL; SI, stop immunosuppression; anti-CD20, monoclonal anti-B-cell therapy; DLI, donor lymphocyte infusion; COD, cause of death; Sib, HLA-identical family donor; Mono, monoclonal disease; PD, progressive disease; MUD, matched unrelated donor; Poly, polyclonal disease; CR, complete remission; GVHD, graft-versus-host disease; ND, not determined.
I indicates plasma cell hyperplasia; II, polymorphic hyperplasia; III, non-Hodgkin lymphoma (criteria according to Knowles et al44).