Su Yi,Lai Sihan,Yi Hai,Fu Li,Fan Fangyi,Sun Haoping,Liu Yangyang,Deng Tao,Wang Yi,He Guangcui.Allogeneic hematopoietic stem cell transplantation for recurrent lymphoma after autologous stem cell transplantation: clinical analysis of 17 cases[J].J Amry Med Univ (J Third Mil Med Univ),2012,34(24):2456-2458.
Su Yi,Lai Sihan,Yi Hai,Fu Li,Fan Fangyi,Sun Haoping,Liu Yangyang,Deng Tao,Wang Yi,He Guangcui.Allogeneic hematopoietic stem cell transplantation for recurrent lymphoma after autologous stem cell transplantation: clinical analysis of 17 cases[J].J Amry Med Univ (J Third Mil Med Univ),2012,34(24):2456-2458.DOI:
Objective To observe the clinical efficacy of allogeneic hematopoietic stem cell transplantation (allo-HSCT) on recurrent lymphoma after autologous stem cell transplantation (auto-HSCT). Methods A total of 17 patients with recurrent lymphoma after auto-HSCT underwent allo-HSCT in our department from January 2000 to December 2011. There were human leukocyte antigen (HLA) full matched (6/6) in 10 patients
5/6 matched in 5
and 4/6 matched in 2. All patents were treated with standardized co
nditioning regimen consisting of cyclophosphamide 120 mg/kg in 2 d
busulfan 12 to 14 mg/kg in 4 d by oral taking
and fludarabine 30 mg/m
2
for 1 to 5 d. Graft-versus-host disease (GVHD) was prevented by CsA+MTX+MMF for HLA full-matched and ATG +CsA +MTX+MMF for mismatched. Grafts were peripheral blood stem cells and bone marrow. Results Hematopoietic reconstitution achieved in all 17 patients. There were 9 cases (52.94%) with acute GVHD
and 11 cases (64.70%) with chronic GVHD. During the follow-up period of 12 to 120 month
6 patients died of disease recurrence after transplantation 8
11
15
19
21
and 34 months respectively
3 died of GVHD with infection
and 8 survived until now. Conclusion Allo-HSCT is an effective therapy for recurrent lymphoma after auto-HSCT.