Late Onset Graft Plasmacytoma-Like PTLD Presenting as Acute Hyperglycemia in a Kidney-Pancreas Transplant Recipient

Figure 1

Plasma cells infiltration of pancreas allograft on indication biopsy due to elevation of amylase and lipase. (a–c) Extensive diffuse infiltration and pancreatic tissue replacement with plasma cells observed on H&E ((a): X40; (b): x200; (c): x400). (d) Extensive immunostaining for IgG-kappa chains, x100; (e) absence of lambda staining, x100; (f) immunohistochemical staining were positive for CD79 plasma cells, x100; (g) negative for CD20, x100; and (h) extensively positive for CD138, x100; (i) and (j) Ki67 proliferation index was under 3%.