Histopathologic diagnosis of chronic graft-versus-host disease: National Institutes of Health consensus development project on criteria for clinical trials in chronic graft-versus-host disease: II. Pathology working group report

Howard M. Shulman, David Kleiner, Stephanie J. Lee, Thomas Morton, Steven Z. Pavletic, Evan Farmer, J. Margaret Moresi, Joel Greenson, Anne Janin, Paul J. Martin, George McDonald, Mary E.D. Flowers, Maria Turner, Jane Atkinson, Jay Lefkowitch, M. Kay Washington, Victor G. Prieto, Stella K. Kim, Zsolt Argenyi, A. Hafeez DiwanAsif Rashid, Kim Hiatt, Dan Couriel, Kirk Schultz, Sharon Hymes, Georgia B. Vogelsang

Research output: Contribution to journalReview articlepeer-review

389 Scopus citations

Abstract

This consensus document provides an update for pathologists and clinicians about the interpretation of biopsy results and use of this information in the management of hematopoietic cell transplantation patients. Optimal sampling and tissue preparation are discussed. Minimal criteria for the diagnosis of graft-versus-host disease (GVHD) are proposed, together with specific requirements for the diagnosis of chronic GVHD. Four final diagnostic categories (no GVHD, possible GVHD, consistent with GVHD, and definite GVHD) reflect the integration of histopathology with clinical, laboratory, and radiographic information. Finally, the Working Group developed a set of worksheets to facilitate communication of clinical information to the interpreting pathologist and to aid in clinicopathologic correlation studies. Form are available http://www.aaasbmt.org/cGvHD_Guidelines. The recommendations of the Working Group represent a consensus opinion supplemented by evaluation of available peer-reviewed literature. Consensus recommendations and suggested data-capture forms should be validated in prospective clinicopathologic studies.

Original languageEnglish (US)
Pages (from-to)31-47
Number of pages17
JournalBiology of Blood and Marrow Transplantation
Volume12
Issue number1
DOIs
StatePublished - Jan 2006

Keywords

  • Allogeneic hematopoietic cell transplantation
  • Chronic graft-versus-host disease
  • Consensus diagnosis
  • Pathology

ASJC Scopus subject areas

  • Hematology
  • Transplantation

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