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We describe two sisters, one the donor and the other the recipient of a bone marrow transplant, in whom subcutaneous panniculitic T-cell lymphoma5,6 developed three years after the procedure. The finding of identical T-cell clones in the tumors of both sisters implicated the transfer of neoplastic T cells during bone marrow transplantation as the cause of the recipient's subcutaneous
Case Reports
Methods
Specimen Collection, Histochemical Analysis, and Isolation of DNA
PCR for TCR
Gene Rearrangements
Microsatellite Analysis
Tumor-Specific PCR Analysis
Results
The Size of the Rearranged TCR
Genes
Microsatellite Analysis
Sequences of the Rearranged TCR
Genes
PCR Analysis of Blood Cells before and after Transplantation
Discussion
Source Information
From the Departments of Pathology (K.D.B., K.M.H., M.G.G., K.M.M., C.A.G., L.S.R.-V., M.J.B., J.R.E.), Dermatology (N.K.B., K.M.H., H.C.N.), Medicine (M.G.G.), and Oncology (K.D.B., M.G.G., R.J.J., C.A.G., L.S.R.-V., J.R.E.), Johns Hopkins School of Medicine, Baltimore; and the Department of Hematology and Oncology, Geisinger Medical Center, Danville, Pa. (A.M.).
Address reprint requests to Dr. Eshleman at the Department of Pathology, 632 Ross Bldg., 720 Rutland Ave., Baltimore, MD 21205, or at jeshlema@jhmi.edu.
References
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