Survival of 118 patients with malignant hematological disease treated by autologous hematopoietic stem cell transplantation
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Survival of 118 patients with malignant hematological disease treated by autologous hematopoietic stem cell transplantation
Journal of Chongqing Medical UniversityVol. 38, Issue 9, Pages: 1292-1295(2014)
作者机构:
重庆医科大学附属第一医院血液内科,重庆,400016
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Published:2014,
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Wen Jing, Liu Lin. Survival of 118 patients with malignant hematological disease treated by autologous hematopoietic stem cell transplantation. [J]. Journal of Chongqing Medical University 38(9):1292-1295(2014)
DOI:
Wen Jing, Liu Lin. Survival of 118 patients with malignant hematological disease treated by autologous hematopoietic stem cell transplantation. [J]. Journal of Chongqing Medical University 38(9):1292-1295(2014)DOI:
Survival of 118 patients with malignant hematological disease treated by autologous hematopoietic stem cell transplantation
Objective:To evaluate the clinical efficacy of autologous hematopoietic stem cell transplantation(auto-HSCT) in the treatment of malignant hematological diseases. Methods:The clinical data of 118 patients with hematological diseases who received auto-HSCT were collected. Of the 118 patients,23 were acute leukemia(AL),69 were malignant lymphoma(ML) and 26 were multiple myeloma(MM). The overall survival(OS),disease free survival(DFS),and the relapse rate were analyzed. Results:Totally 117 patients engrafted successfully,except one patient died because of infection. The average time was 9.8 d for neutrophil reconstruction(≥0.5×109/L),and 12.3 d for platelet reconstruction(≥20×109/L). Median survival time was 47.6(1-80) months. The 3-year OS and DFS were 62.3% and 54.3%,the 5-year OS and DFS were 49.0% and 42.8%,and the cumulative relapse frequency was 28.0%.The prognosis of ML was better than that of AL and MM(P<0.05). Conclusion:Auto-HSCT is effective for AL. Auto-HSCT can obviously prolong the survival time of ML and MM patients,and the MM should get individualized treatment.