Tonsil lymphoma presenting as tonsillitis after bone marrow transplantation Journal Article


Authors: Yellin, S. A.; Weiss, M. H.; Kraus, D. H.; Papadopoulos, E. B.
Article Title: Tonsil lymphoma presenting as tonsillitis after bone marrow transplantation
Abstract: Bone marrow transplantation for the treatment of leukemia is increasingly successful in rendering patients disease free. However, it has become evident that the associated severe immunosuppression predisposes this population to an increased risk for other neoplastic disorders. We report on six patients in whom non-Hodgkin's lymphoma of the tonsillar region developed within 5 months after T-cell-depleted bone marrow transplantation for the treatment of leukemia at Memorial Sloan-Kettering Cancer Center from October 1990 to October 1992. These patients initially had what appeared to be infectious exudative pharyngitis/tonsillitis; however, they did not improve with medical therapy. Because of the persistence of pharyngitis/tonsillitis in association with cervical lymphadenopathy and odynophagia, the patients underwent definitive biopsy in the form of tonsillectomy, cervical lymph node biopsy, or both. Histopathologic review revealed non-Hodgkin's lymphoma. An association with Epstein-Barr virus has been noted in five of these patients. This article is aimed at alerting the clinician to consider the diagnosis of lymphoma in a patient with persistent pharyngitis/tonsillitis despite adequate medical therapy after bone marrow transplantation.
Keywords: dna; proliferation; cytomegalovirus; lymphoproliferative disorders; graft; epstein-barr-virus; t-cell depletion; recipients; polymerase chain-reaction; versus-host disease
Journal Title: Otolaryngology - Head and Neck Surgery
Volume: 112
Issue: 4
ISSN: 0194-5998
Publisher: Sage Publications  
Date Published: 1995-04-01
Start Page: 544
End Page: 548
Language: English
ACCESSION: WOS:A1995QR87600007
PROVIDER: wos
PUBMED: 7700660
DOI: 10.1177/019459989511200407
Notes: Article -- Source: Wos
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  1. Dennis Kraus
    268 Kraus