Table 5.
Treatment and survival summary 10 patients with Primary CNS Post-Transplant Lymphoproliferative Disorder.
| Patient | Age | Time to PTLD diagnosis† (years) | Histological Subtype | Treatments | Overall survival (years)‡ | Survival status‡ | Organ failure‡ |
|---|---|---|---|---|---|---|---|
| 1 | 42 | 3.1 | Polymorphic | ROI, DEX HD-MTX (1 cycle) WBRT |
6.3 | Died (non-PTLD) | No |
| 2 | 67 | 11.4 | Monomorphic, Diffuse large B cell | ROI, DEX Rituximab WBRT |
4.9 | Died (non-PTLD) | No |
| 3 | 44 | 5.8 | Monomorphic, Peripheral T Cell | ROI, DEX Rituximab WBRT |
0.6 | Died (non-PTLD) | Yes |
| 4 | 47 | 2.7 | Monomorphic, Diffuse large B cell | ROI, DEX Rituximab WBRT |
4.3 | Alive | Yes |
| 5 | 38 | 1.8 | Polymorphic | ROI, DEX HD-MTX (3 cycles) Rituximab IT-MTX WBRT Temozolomide |
3.3 | Alive | No |
| 6 | 55 | 1.9 | Monomorphic, Diffuse large B cell | ROI, DEXHD-MTX (1 cycle) Rituximab IT-MTX WBRT Temozolomide |
2.1 | Alive | No |
| 7 | 56 | 6.3 | Polymorphic | ROI, DEX Rituximab |
1.4 | Alive | Yes |
| 8 | 43 | 9.7 | Monomorphic, Diffuse large B cell | ROI, DEX Rituximab |
0.2 | Died (PTLD) | No |
| 9 | 63 | 1.9 | Monomorphic, Diffuse large B cell | ROI, DEX WBRT Rituximab |
0.8 | Alive | No |
| 10 | 50 | 11.3 | Polymorphic | ROI, DEX | 0.3 | Alive | No |
Abbreviations: DEX = dexamethasone, HD-MTX = high-dose methotrexate 3.5 grams/m2 IV per cycle, IT-MTX = intrathecal methotrexate, ROI = reduction of immunosuppresion, WBRT = whole-brain radiotherapy.
Time from date of most recent SOT to date of PCNS-PTLD diagnosis.
Outcomes measured from date of PCNS-PTLD diagnosis.