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血液系统疾病、实体瘤和免疫紊乱的异基因及自体移植:欧洲的定义及当前实践

Allogeneic and autologous transplantation for haematological diseases, solid tumours and immune disorders: definitions and current practice in Europe.

作者信息

Urbano-Ispizua A, Schmitz N, de Witte T, Frassoni F, Rosti G, Schrezenmeier H, Gluckman E, Friedrich W, Cordonnier C, Socie G, Tyndall A, Niethammer D, Ljungman P, Gratwohl A, Apperley J, Niederwieser D, Bacigalupo A

机构信息

Dept of Hematology, Hospital Clinic, Barcelona, Spain.

出版信息

Bone Marrow Transplant. 2002 Apr;29(8):639-46. doi: 10.1038/sj.bmt.1703535.

Abstract

The Accreditation Sub-Committee of the EBMT regularly publishes special reports on current practice of haemopoietic stem cell transplantation for haematological diseases, solid tumours and immune disorders. Major changes have occurred since the last report in 1998. Haemopoietic stem cell transplantation today includes allogeneic and autologous stem cells derived from bone marrow, peripheral blood and cord blood. With reduced intensity conditioning regimens in allogeneic transplantation, the age limit has increased, permitting the inclusion of older patients. New indications have emerged, such as autoimmune disorders and AL amyloidosis for autologous, and solid tumours for allogeneic transplants. Other indications, such as autologous transplantation for breast cancer have been challenged. An updated report with revised tables and operating definitions is presented here.

摘要

欧洲血液与骨髓移植协会(EBMT)认证小组委员会定期发布关于血液系统疾病、实体瘤和免疫紊乱的造血干细胞移植当前实践的特别报告。自1998年上次报告以来,情况发生了重大变化。如今的造血干细胞移植包括源自骨髓、外周血和脐带血的异基因和自体干细胞。随着异基因移植中减低剂量预处理方案的应用,年龄限制有所提高,使得老年患者也能纳入。出现了新的适应证,如自体移植用于自身免疫紊乱和AL淀粉样变性,异基因移植用于实体瘤。其他适应证,如乳腺癌的自体移植,受到了挑战。本文呈现了一份更新报告,其中表格和操作定义均有修订。

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