Table 3.

Summary of adverse prognostic factors and survival outcomes of non-DLBCL monomorphic PTLD and HL-type PTLD as reported in the largest retrospective studies to date

PTLD subtypeKey adverse prognostic factorsOS data
BL-PTLD Bone marrow involvement; failure to achieve CR with frontline treatment Median OS reported as 7.1 years in one study and 139 months in another9,18  
T/NK-cell PTLD EBV-negative status; PTCL-NOS and HSTCL subtypes Median OS ∼6 months, varying by subtype12,16  
Plasmacytic PTLD In plasmacytoma and plasma cell myeloma PTLD, cytogenetic abnormalities confer similar prognostic impact as in non-PTLD settings
In plasmablastic lymphoma, MYC rearrangements and EBV negativity were associated with poor prognosis in one study, but not in another 
Plasmacytoma-like PTLD and PCM-PTLD have survival outcomes comparable with those in the nontransplant setting14
OS in plasmablastic lymphoma ranged from 0 to 15.9 years in 1 study13  
PCNS-PTLD Lack of response to high-dose MTX; older age; elevated LDH; high Ki-67 index Median OS was 17 months in one study and 122 months in another10,11  
HL-PTLD Older age; elevated creatinine; receipt of nonstandard HL therapies 5-year OS was 57% in the largest retrospective study22  
PTLD subtypeKey adverse prognostic factorsOS data
BL-PTLD Bone marrow involvement; failure to achieve CR with frontline treatment Median OS reported as 7.1 years in one study and 139 months in another9,18  
T/NK-cell PTLD EBV-negative status; PTCL-NOS and HSTCL subtypes Median OS ∼6 months, varying by subtype12,16  
Plasmacytic PTLD In plasmacytoma and plasma cell myeloma PTLD, cytogenetic abnormalities confer similar prognostic impact as in non-PTLD settings
In plasmablastic lymphoma, MYC rearrangements and EBV negativity were associated with poor prognosis in one study, but not in another 
Plasmacytoma-like PTLD and PCM-PTLD have survival outcomes comparable with those in the nontransplant setting14
OS in plasmablastic lymphoma ranged from 0 to 15.9 years in 1 study13  
PCNS-PTLD Lack of response to high-dose MTX; older age; elevated LDH; high Ki-67 index Median OS was 17 months in one study and 122 months in another10,11  
HL-PTLD Older age; elevated creatinine; receipt of nonstandard HL therapies 5-year OS was 57% in the largest retrospective study22  

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