Table 2. Mesenchymal tumors in organ homograft recipients.
Case No. | Transplant center | Age at time of transplant (years) | Sex | Donor | Immunosuppression by | Type of tumor | Time after transplantation (months) | Organs involved | Outcome | Referring physician | ||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Splenectomy | Thymectomy | Imuran | Prednisone | ALG | ||||||||||
1 | Denver | 14 | M | Mother | Yes | No | Yes | Yes | Yes | Reticulum cell sarcoma | 5½ | Brain | Dead | |
2 | Denver | 23 | M | Father | Yes | Yes | Yes | Yes | No | Reticulum cell sarcoma | 30 | Thyroid; liver; lung; stomach; prostate; pituitary; skin; psoas muscle | Dead | |
3 | Edinburgh | 26 | F | Mother | No | No | Yes | Yes | Yes | Reticulum cell sarcoma | 25 | Lymph nodes; pleura; spleen; liver; ovary; adrenal; bone marrow; transplanted kidney | Dead | M. Woodruff |
4 | Cleveland | 32 | M | Cadaver | No | No | Yes | Yes | Yes | Reticulum cell sarcoma | 22 | Buttock; lungs; aortic lymph nodes | Dead | S. D. Deodhar |
5 | Richmond | 38 | M | Cadaver | No | No | Yes | Yes | No | Reticulum cell sarcoma | 31 | Lung; aortic lymph nodes | Dead | J. Pierce |
6 | Auckland | 34 | M | Cadaver Cadaver Cadaver |
No | No | Yes | Yes | No | Reticulum cell sarcoma | 7 | Tongue; esophagus; liver | Dead | P. Doak |
7 | Auckland | 46 | F | Cadaver | No | No | Yes | Yes | No | Reticulum cell sarcoma | 9 | Brain | Dead | P. Doak |
8 | New York | 18 | M | Uncle | No | No | Yes | Yes | No | Reticulum cell sarcoma | 9 | Brain | Dead | R. Porro |
9 | New York | 36 | M | Cadaver | No | No | Yes | Yes | No | Reticulum cell sarcoma | 10 | Brain | Dead | F. Veith |
10 | Richmond | 29 | M | Brother | Yes | No | Yes | Yes | No | Reticulum cell sarcoma | 67 | Widespread lymph nodes; liver; vertebrae | Dead | H. Lee |
11 | Little Rock | 21 | M | Father | Yes | No | Yes | Yes | No | Reticulum cell sarcoma | 24 | Brain | Dead | C. Araoz |
12 | San Francisco | 39 | F | Sister | Yes | No | Yes | Yes | No | Reticulum cell sarcoma | 14 | Brain; lungs | Dead | F. O. Belzer |
13 | Richmond | 18 | M | Father | Yes | No | Yes | Yes | No | Reticulum cell sarcoma | 73 | Widespread lymph nodes; liver; pancreas; bone marrow; meninges; bladder; testes; transplanted kidney; accessory spleen; sciatic nerve; lung | Dead | H. M. Lee |
14 | Oklahoma City | 19 | F | Cadaver | No | No | Yes | Yes | No | Reticulum cell sarcoma | 13 | Lungs; liver; spleen; rectum; transplanted kidney; mesentery; bone marrow | Dead | Y. Muto |
15 | Chicago | 52 | M | Cadaver | No | No | Yes | Yes | No | Reticulum cell sarcoma | 7½ | Brain | Dead | N. Levine |
16 | New York | 28 | M | Cadaver | No | No | Yes | Yes | No | Reticulum cell sarcoma | 7 | Liver | Dead | L. Burrows |
17 | San Francisco | 40 | F | Cadaver Cadaver |
No | No | Yes | Yes | No | Reticulum cell sarcoma | 14 | Brain | Dead | F. O. Belzer |
18 | Galveston | 45 | M | Cadaver | No | No | Yes | Yes | Yes | Reticulum cell sarcoma | 19 | S.c. tissues of buttock | Alivec | J. C. Fish |
(Had thoracic duct fistula) | ||||||||||||||
19 | Zurich | 50 | F | Cadaver | No | No | Yes | Yes | Yes | Malignant reticulosis | 8 | Liver; spleen; lymph nodes; bone marrow; esophagus; tongue; transplanted kidney; adrenal glands | Dead | W. Wegmann |
(Had thoracic duct fistula) | ||||||||||||||
20 | Israel | 34 | F | Cadaver | No | No | Yes | Yes | Yes | Reticulum cell sarcoma | 9 | Brain | Deadd | B. Myers |
Kaposi's sarcoma | Skin | |||||||||||||
21 | Israel | 27 | M | Cadaver | No | No | Yes | Yes | Yes | Kaposi's sarcoma | 8 | Skin; mucosa of mouth | Alivee | B. Myers |
22 | New York | 35 | F | Cadaver | No | No | Yes | Yes | No | Visceral Kaposi's sarcoma | 10 | Lungs; esophagus; stomach; urinary bladder; mediastinal and abdominal lymph nodes | Dead | J. H. Siegel |
23 | Denver | 20 | F | Father | Yes | No | Yes | Yes | Yes | Unclassified lymphoma | 7 | Brain | Alive following radiotherapy | |
24 | Los Angeles | 23 | M | Cadaver | No | No | Yes | Yes | No | Unclassified lymphoma | 46 | Brain | Dead | R. Goldman |
25a | Montreal | 29 | M | Cadaver | No | No | Yes | Yes | Yes | Unclassified lymphoma | 2 | Spinal cord | Dead | P. Daloze |
26 | San Francisco | 21 | M | Brother Cadaver Cadaver Cadaver |
Yes | No | Yes | Yes | No | Reticulum cell sarcoma | 41 | Brain (multifocal); cervical lymph nodes | Dead | F. O. Belzer |
27a | Edmonton | 8 | M | Father | No | No | Yes | Yes | No | Lymphosarcoma | 3½ | Brain; meninges | Dead | W. Lakey |
28 | Boston | 34 | M | Cadaver; half-sister | No | No | Yes | Yes | No | Leiomyosarcoma | 47 | Stomach; perigastric lymph node; peritoneum; bowel; liver; lungs; vertebrae and ribs | Dead | R. E. Wilson |
29 | Montreal | 36 | M | Cadaver | No | No | Yes | Yes | No | Leiomyosarcoma | 51 | Small bowel; liver; pancreas | Dead | L. D. MacLean |
30b | Chapel Hill | 39 | M | Cadaver | No | No | Yes | Yes | Yes | Synovial sarcoma | 12 | Lungs; liver; small bowel; right popliteal fossa | Dead | W. B. Blythe |
31 | New York | 40 | F | Cadaver | No | No | Yes | Yes | No | Rhabdomyosarcoma | 19 | Iliac muscles | Dead | L. Burrows |
Tumors may have been present at time of transplantation.
Tumor first diagnosed 9 months after immunosuppressive therapy had been discontinued.
Alive 3 months following radical local excision and radiotherapy and reduction of immunosuppressive therapy.
Tumors had disappeared following resection or irradiation of the lesions and withdrawal of ALG and Imuran therapy; no tumors at autopsy.
No recurrence after irradiation of lesions and withdrawal of ALG and Imuran therapy.