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T/NK-cell post-transplant lymphoproliferative disorder of the urinary bladder: a case report
  1. Neeraj Arora1,
  2. Sheila Nair1,
  3. Alok Srivastava2
  1. 1Department of Pathology, Christian Medical College, Vellore, Tamil Nadu, India
  2. 2Department of Haematology, Christian Medical College, Vellore, Tamil Nadu, India
  1. Correspondence to Dr Neeraj Arora, Department of Pathology, Fifth floor, Asha Building, Christian Medical College, Vellore, Tamil Nadu, India; drneerajarora{at}

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Post-transplant complications including neoplastic disorders such as carcinoma and lymphomas, related primarily to chronic immunosuppression, are well recognised.1 Post-transplant lymphoproliferative disorders (PTLDs) are a group of lymphoid or plasmacytic proliferations that develop as a consequence of immunosuppression after receipt of a solid organ, bone marrow or stem cell allograft and for which there is no other known explanation.2 3

Case report

A young person underwent a successful renal transplant for end-stage renal failure in 1995 in a different hospital. His post-transplant medications included ciclosporin (stopped in 1997), azathioprine and prednisolone. This patient presented to us 14 years later with intermittent painless haematuria. CT scan revealed a large bulky, heterogeneous mass measuring 8×9×5.6 cm in the posteroinferior wall of the bladder …

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  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.