T‐Cell large granular lymphocytic leukemia following orthotopic liver transplantation

Abstract
Aggressive T‐cell neoplasms are an infrequent complication of allogeneic organ and bone marrow transplantation. To date, chronic T‐cell lymphoproliferative malignancies have not been described. The present case documents the occurrence of a T‐cell large granular lymphocytic leukemia (T‐LGL) in a patient following orthotopic liver transplantation. Genotype studies showed a clonal T‐cell receptor α‐chain gene rearrangement. A unique feature was the detection of a specific chromosomal deletion at 1p32 involving the tal‐1 gene, an abnormality previously described only in aggressive T‐cell neoplasms.

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