EBV-Associated Smooth Muscle Neoplasms: Solid Tumors Arising in the Presence of Immunosuppression and Autoimmune Diseases
2008

EBV-Associated Smooth Muscle Neoplasms in Immunocompromised Patients

Sample size: 3 publication Evidence: moderate

Author Information

Author(s): Kimberly Moore Dalal, Cristina R. Antonescu, Ronald P. DeMatteo, Robert G. Maki

Primary Institution: Memorial Sloan-Kettering Cancer Center

Hypothesis

To report experiences with EBV-related neoplasms and describe the first EBV-related smooth muscle neoplasm in patients receiving immunosuppressive therapy.

Conclusion

EBV-related smooth muscle neoplasms have variable aggressiveness, and improving the host immune status provides the best opportunity for tumor control.

Supporting Evidence

  • Patients who reduced immunosuppression survived longer.
  • Surgical resection or chemotherapy delayed disease progression.
  • EBV is associated with smooth muscle neoplasms in immunocompromised patients.

Takeaway

Some people with weak immune systems can get rare tumors caused by a virus called EBV, and treating the immune system can help control these tumors.

Methodology

Case reports with a minimum 3-year follow-up from 2002 to 2005, involving surgical resection and chemotherapy.

Limitations

Relatively short follow-up for these slow-growing neoplasms.

Participant Demographics

Three patients with different causes of immune dysregulation: one with a renal transplant, one with AIDS, and one with psoriasis.

Digital Object Identifier (DOI)

10.1155/2008/859407

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