TY - JOUR
T1 - Allogeneic hematopoietic stem cell transplantation for non-Hodgkin’s lymphomas: a retrospective analysis of 77 cases
AU - Picleanu, Ana M.
AU - Novelli, Silvana
AU - Monter, Anna
AU - Garcia-Cadenas, Irene
AU - Caballero, Ana C.
AU - Martino, Rodrigo
AU - Esquirol, Albert
AU - Briones, Javier
AU - Sierra, Jorge
PY - 2017/5/1
Y1 - 2017/5/1
N2 - © 2017, Springer-Verlag Berlin Heidelberg. Allogeneic hematopoietic stem cell transplantation (allo-SCT) is a therapeutic option for relapsed, advanced, and otherwise incurable non-Hodgkin’s lymphomas (NHL) suggested by the existence of a graft-versus-lymphoma effect. The main complications are graft-versus-host disease and infections. We performed a retrospective analysis of patients with NHL, who received an allo-SCT between January 1995 and December 2014. The parameters that had an impact on overall survival were age ≤60 years old, chemosensitive disease pre-allo-SCT, and indolent NHL histology. The parameters that had an impact on progression-free survival were age ≤60 years old and chemosensitive disease pre-allo-SCT. Only aggressive NHL histology and refractory disease pre-allo-SCT showed an increased risk of death in the multivariate model. The use of allo-SCT for young patients with multiple relapsed chemosensitive indolent NHL is a suitable option. Despite poor prognosis, young aggressive NHL patients can be considered for allo-SCT provided they have chemosensitive disease.
AB - © 2017, Springer-Verlag Berlin Heidelberg. Allogeneic hematopoietic stem cell transplantation (allo-SCT) is a therapeutic option for relapsed, advanced, and otherwise incurable non-Hodgkin’s lymphomas (NHL) suggested by the existence of a graft-versus-lymphoma effect. The main complications are graft-versus-host disease and infections. We performed a retrospective analysis of patients with NHL, who received an allo-SCT between January 1995 and December 2014. The parameters that had an impact on overall survival were age ≤60 years old, chemosensitive disease pre-allo-SCT, and indolent NHL histology. The parameters that had an impact on progression-free survival were age ≤60 years old and chemosensitive disease pre-allo-SCT. Only aggressive NHL histology and refractory disease pre-allo-SCT showed an increased risk of death in the multivariate model. The use of allo-SCT for young patients with multiple relapsed chemosensitive indolent NHL is a suitable option. Despite poor prognosis, young aggressive NHL patients can be considered for allo-SCT provided they have chemosensitive disease.
KW - Allo-SCT
KW - Hematopoietic stem cell transplantation
KW - Non-Hodgkin’s lymphoma
U2 - 10.1007/s00277-017-2934-9
DO - 10.1007/s00277-017-2934-9
M3 - Article
SN - 0939-5555
VL - 96
SP - 787
EP - 796
JO - Annals of Hematology
JF - Annals of Hematology
IS - 5
ER -