Case Report

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

Table 1

Three different clinical scenarios in which EBV-related SMNs developed: patient summary. Dx = diagnosis. SMN = smooth muscle neoplasm. DOD = dead of disease. AWD = alive with disease. NED = no evidence of disease.

Age at Dx (year)Cause of immune dysregulationDate of start of immune dysregulationTime to SMNSiteTreatmenStatus follow-up

155MCadaveric renal transplant prednisone, cyclosporine, azathioprine, mycophenolate mofetil19948 yearsLiver (caudate 14 cm); lungObservation (declined systemic therapy) (7/02)DOD 5 months

218FAIDS CD4 count = 8Birth11 yearsColon, chest, paraspinal/ vertebral, liver, gluteal, perigastric areasAntiretrovirals doxorubicin, then dacarbazine (10/03)AWD without progression, 5 years

325FPsoriasis, etanercept therapy20+ years, 8/0420+ years, 5 months after etanercept startedLiverStopped immunosuppressives; hepatic resection (10/05)NED, 3 years