Table 2.

Summary of key clinical features of non-DLBCL monomorphic PTLD and HL-type PTLD as reported in the largest retrospective studies to date

PTLD subtypeEarly- vs late-onset PTLDMost common transplanted organEBV association (%)Site predilectionGenetic features remark
BL Late Kidney 49% to 69% 
  • Gastrointestinal tract is the most common site

  • CNS involvement in 7% to 13% of cases

 
  • MYC translocations

 
T/NK-cell PTLD Late Kidney, heart 33% 
  • Bone marrow, peripheral blood, and spleen are the most common sites

 
  • Molecular features resemble those in immunocompetent individuals with T/NK-cell lymphomas

 
Plasmacytoma-like PTLD Late No clear organ preference Up to 50% 
  • Similar to non-PTLD setting, although osseous involvement is less frequent

  • Graft involvement is rare

 
  • NA

 
PCM-PTLD Late Kidney Rare 
  • Similar to non-PTLD setting, although osseous involvement is less frequent

 
  • FISH/cytogenetic findings similar to non-PTLD myeloma

 
Plasmablastic lymphoma Late to very late Heart, kidney 55% to 63% 
  • Primarily extranodal

 
  • MYC rearrangements reported in 33% to 45% of cases

 
PCNS-PTLD Late to very late Kidney >90% 
  • Lobar regions, basal ganglia, and thalamus are the most common sites

  • Leptomeningeal and ocular involvement is rare

 
  • Unlike PCNS lymphoma, MYD88 alterations are rare, except in some EBV-negative cases

 
HL-PTLD Late Kidney 74% 
  • No predilection but extranodal disease is more common than in immunocompetent patients

 
  • NA

 
PTLD subtypeEarly- vs late-onset PTLDMost common transplanted organEBV association (%)Site predilectionGenetic features remark
BL Late Kidney 49% to 69% 
  • Gastrointestinal tract is the most common site

  • CNS involvement in 7% to 13% of cases

 
  • MYC translocations

 
T/NK-cell PTLD Late Kidney, heart 33% 
  • Bone marrow, peripheral blood, and spleen are the most common sites

 
  • Molecular features resemble those in immunocompetent individuals with T/NK-cell lymphomas

 
Plasmacytoma-like PTLD Late No clear organ preference Up to 50% 
  • Similar to non-PTLD setting, although osseous involvement is less frequent

  • Graft involvement is rare

 
  • NA

 
PCM-PTLD Late Kidney Rare 
  • Similar to non-PTLD setting, although osseous involvement is less frequent

 
  • FISH/cytogenetic findings similar to non-PTLD myeloma

 
Plasmablastic lymphoma Late to very late Heart, kidney 55% to 63% 
  • Primarily extranodal

 
  • MYC rearrangements reported in 33% to 45% of cases

 
PCNS-PTLD Late to very late Kidney >90% 
  • Lobar regions, basal ganglia, and thalamus are the most common sites

  • Leptomeningeal and ocular involvement is rare

 
  • Unlike PCNS lymphoma, MYD88 alterations are rare, except in some EBV-negative cases

 
HL-PTLD Late Kidney 74% 
  • No predilection but extranodal disease is more common than in immunocompetent patients

 
  • NA

 

FISH, fluorescence in situ hybridization; NA, not available.

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