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自体外周血干细胞移植用于累及骨髓的恶性肿瘤。

Autologous peripheral blood stem cell transplantation in malignancies involving bone marrow.

作者信息

Sica S, Leone G, Teofili L, Pierelli L, Menichella G, Di Mario A, Paoloni A, Iovino M S, Bizzi B

机构信息

Istituto di Semeiotica Medica, Facoltà di Medicina e Chirurgia, Università Cattolica del Sacro Cuore, Rome, Italy.

出版信息

Haematologica. 1991 Mar;76 Suppl 1:60-2.

PMID:1677914
Abstract

Six patients suffering from refractory malignancies (3 NHL, 1 MM, 1 AML, 1 neuroblastoma) received high dose of chemotherapy and autologous peripheral blood stem cell transplantation (APBSCT). The recruitment of PBSC was performed using conventional salvatage schedules of therapy. The patients received a median of 8.69 MNC/kg bw and 20.87 CFU-GM x 10(4)/kg bw. Prompt engraftment occurred in all patients and the median number of days to achieve WBC greater than 1 x 10(9)/l was 16.5 (range 7-26), PMN greater than 0.5 x 10(9)/l was 21.5 (range 6-37) and PLTs greater than 50 x 10(9)/l was 17.5 (range 4-31). Four patients achieved a complete remission. One patient (neuroblastoma) died of progressive disease after a partial response. One patient died in relapse because of drug related toxicity.

摘要

6例难治性恶性肿瘤患者(3例非霍奇金淋巴瘤、1例多发性骨髓瘤、1例急性髓细胞白血病、1例神经母细胞瘤)接受了大剂量化疗及自体外周血干细胞移植(APBSCT)。采用常规挽救治疗方案采集外周血干细胞。患者接受的单个核细胞(MNC)中位数为8.69×10⁶/kg体重,粒系集落形成单位(CFU-GM)中位数为20.87×10⁴/kg体重。所有患者均迅速植入,白细胞计数大于1×10⁹/L的中位天数为16.5天(范围7 - 26天),中性粒细胞计数大于0.5×10⁹/L的中位天数为21.5天(范围6 - 37天),血小板计数大于50×10⁹/L的中位天数为17.5天(范围4 - 31天)。4例患者达到完全缓解。1例患者(神经母细胞瘤)部分缓解后死于疾病进展。1例患者因药物相关毒性在复发时死亡。

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