First described in organ transplant recipients in 1968, post-transplan
t lymphoproliferative disorder (PTLD) remains an often devastating com
plication of immunosuppression. Similar, if not identical, Epstein-Bar
r virus (EBV)-associated B lymphoproliferations have since been descri
bed in congenital and other acquired immunodeficiency states. Although
PTLD is often morphologically indistinguishable from aggressive non-H
odgkin's lymphoma, the pathogenesis, presentation, clinical course, an
d management options differ significantly from those of classic NHL.