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Erschienen in: Annals of Hematology 8/2018

02.04.2018 | Original Article

Impact of hematopoietic stem cell transplantation in patients with relapsed or refractory mantle cell lymphoma

verfasst von: Satoshi Yamasaki, Dai Chihara, Sung-Won Kim, Koji Izutsu, Kouji Iwato, Takahiro Fukuda, Naoyuki Uchida, Itsuto Amano, Hideyuki Nakazawa, Junya Kuroda, Hisako Hashimoto, Tatsuo Ichinohe, Yoshinobu Kanda, Yoshiko Atsuta, Junji Suzumiya, Ritsuro Suzuki

Erschienen in: Annals of Hematology | Ausgabe 8/2018

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Abstract

Rituximab has been shown to improve outcomes in patients with B-cell lymphoma. However, patients with relapsed or refractory (R/R) mantle cell lymphoma (MCL) still have a poor prognosis, and the choice between high-dose therapy with autologous hematopoietic cell transplantation (HCT) and allogeneic HCT remains controversial in these patients. We retrospectively analyzed the risk factors for outcomes in 162 R/R MCL patients who received autologous (n = 111) or allogeneic (n = 51) HCT between 2004 and 2014. The median overall survival (OS) rates were 48 and 65 months in the autologous and allogeneic HCT groups, respectively (P = 0.20). Significant risk factors for overall survival in R/R MCL patients after autologous HCT were > 60 years of age at HCT (P = 0.017), higher score of HCT-specific comorbidity index at HCT (P = 0.033), and receiving MCEC (ranimustine + carboplatin + etoposide + cyclophosphamide) regimen (P = 0.017), while higher performance status at HCT (P = 0.011) and longer interval from diagnosis to HCT (P = 0.0054) were risk factors after allogeneic HCT. Strategies that carefully select R/R MCL patients for autologous HCT may allow the identification of individuals suitable for allogeneic HCT.
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Metadaten
Titel
Impact of hematopoietic stem cell transplantation in patients with relapsed or refractory mantle cell lymphoma
verfasst von
Satoshi Yamasaki
Dai Chihara
Sung-Won Kim
Koji Izutsu
Kouji Iwato
Takahiro Fukuda
Naoyuki Uchida
Itsuto Amano
Hideyuki Nakazawa
Junya Kuroda
Hisako Hashimoto
Tatsuo Ichinohe
Yoshinobu Kanda
Yoshiko Atsuta
Junji Suzumiya
Ritsuro Suzuki
Publikationsdatum
02.04.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
Annals of Hematology / Ausgabe 8/2018
Print ISSN: 0939-5555
Elektronische ISSN: 1432-0584
DOI
https://doi.org/10.1007/s00277-018-3318-5

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