Kim JM, Kwon CHD, Joh JW, Ko SWJ, Park JB, Kim SJ, Lee JH, Kim GS, Kim SJ, Lee SK. Liver transplantation in lymphoma patients with hepatitis B virus reactivation.
Transplant Proc 2013;
45:2988-91. [PMID:
24157019 DOI:
10.1016/j.transproceed.2013.08.085]
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Abstract
BACKGROUND
Acute-on-chronic liver failure (AoCLF) occurs in lymphoma patients because of hepatitis B virus (HBV) reactivation. We aimed to identify characteristics of patients who underwent liver transplantation (OLT) because of AoCLF that occurred due to HBV reactivation in the setting of lymphoma and to compare these patients with AoCLF patients who did not have lymphoma.
METHODS
Twenty patients underwent OLT due to AoCLF between February 2009 and June 2011. Among these patients, five were diagnosed with lymphoma before OLT and assigned to group 1. The remaining patients (n = 15) were assigned to group 2.
RESULTS
Hospitalization after transplantation in group 2 was longer than in group 1 (P = .014). However, there were no differences in other variables between the two groups. The overall survival rate of group 1 was lower than that of group 2, but there was no difference between the two groups (P = .134). With the exception of one patient, the median time from complete remission to liver transplantation in group 1 was 4.5 months (range, 1-15) in group 1. Lymphoma recurrence occurred in one patient 8 months after transplantation.
CONCLUSION
Our study revealed that OLT is a feasible and effective approach in AoCLF due to HBV reactivation in select lymphoma patients.
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