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CASE REPORT
Post liver transplantation lymphoproliferative disorder mimics recurrence of hepatocellular carcinoma
  1. Kittiyod Poovorawan1,
  2. Sittikorn Linlawan1,
  3. Naruemon Wisedopas2,
  4. Piyawat Komolmit1
  1. 1Department of Medicine, Chulalongkorn University, Bangkok, Thailand
  2. 2Department of Pathology, Chulalongkorn University, Bangkok, Thailand
  1. Correspondence to Dr Piyawat Komolmit, piyawat.komolmit{at}gmail.com

Summary

We report a case of Epstein-Barr virus (EBV)-related postliver transplantation lymphoproliferative disorder (PTLD) in a patient with post liver transplant which initially presented in a CT scan image mimicking recurrence of hepatocellular carcinoma. Histopathology showed atypical plasma cell-like infiltration, and immunohistochemistry confirmed diagnosis of EBV-associated diffuse large B-cell lymphoma. Typical imaging from dynamic phases contrast CT scan might not accurately diagnose recurrent HCC in postorthotropic liver transplantation. Liver biopsy should be performed for accurate diagnosis and proper treatment.

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