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Current Hematologic Malignancy Reports

Erschienen in:

26.02.2019 | Acute Lymphocytic Leukemias (K Ballen and M Keng, Section Editors)

Hematopoietic Stem Cell Transplantation in Pediatric Acute Lymphoblastic Leukemia

verfasst von: Pietro Merli, Mattia Algeri, Francesca Del Bufalo, Franco Locatelli

Erschienen in: Current Hematologic Malignancy Reports | Ausgabe 2/2019

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Abstract

Purpose of Review

The remarkable improvement in the prognosis of children with acute lymphoblastic leukemia (ALL) has been mainly achieved through the administration of risk-adapted therapy, including allogeneic hematopoietic stem cell transplantation (HSCT). This paper reviews the current indications to HSCT in ALL children, as well as the type of donor and conditioning regimens commonly used. Finally, it will focus on future challenges in immunotherapy.

Recent Findings

As our comprehension of disease-specific risk factors improves, indications to HSCT continue to evolve. Future studies will answer the year-old question on the best conditioning regimen to be used in this setting, while a recent randomized controlled study fixed the optimal anti-thymocyte globulin dose in unrelated donor HSCT.

Summary

HSCT, the oldest immunotherapy used in clinical practice, still represents the gold standard consolidation treatment for a number of pediatric patients with high-risk/relapsed ALL. New immunotherapies hold the promise of further improving outcomes in this setting.

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Titel: Hematopoietic Stem Cell Transplantation in Pediatric Acute Lymphoblastic Leukemia
verfasst von: Pietro Merli
Mattia Algeri
Francesca Del Bufalo
Franco Locatelli
Publikationsdatum: 26.02.2019
Verlag: Springer US
Erschienen in: Current Hematologic Malignancy Reports / Ausgabe 2/2019
Print ISSN: 1558-8211
Elektronische ISSN: 1558-822X
DOI: https://doi.org/10.1007/s11899-019-00502-2

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