Plasmablastic plasmacytoma-like post-transplant lymphoproliferative disorder in an orthotopic liver transplant

A 73-year-old man, with 6-year history of orthotopic liver transplant for end-stage liver disease secondary to chronic hepatitis B, presented with jaundice and pruritis. Laboratory studies revealed cholestasis with elevated total bilirubin (6.4mg/dL) and alkaline phosphatase (>700IU/L). Sonography showed a hypoechoic mass with poor Doppler signal measuring 4–5cm in the left hepatic lobe by the porta-hepatis (Fig. 1A). MR revealed a soft tissue mass with lesser contrast enhancement intensity comparing to surrounding liver parenchyma (Fig.

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