Armitage James O
University of Nebraska Medical Center, Omaha, NE, United States.
Transfus Apher Sci. 2013 Aug;49(1):24-6. doi: 10.1016/j.transci.2013.05.020. Epub 2013 Jul 10.
Patients with low grad follicular lymphoma were shown to be able to achieve long-term disease-free survival when transplanted after relapse in the era before the wide spread use of rituximab. It appears that the availability of rituximab has not diminished the value of transplantation (i.e., either autologous or allogeneic) in the care of these patients. A similar overall survival and less treatment related toxicity make autologous transplantation the better choice for most patients transplanted at first treatment failure.
在利妥昔单抗广泛应用之前的时代,低度滤泡性淋巴瘤患者在复发后进行移植时能够实现长期无病生存。利妥昔单抗的可获得性似乎并未降低移植(即自体或异体移植)在这些患者治疗中的价值。相似的总生存率以及较少的治疗相关毒性使得自体移植成为大多数首次治疗失败后接受移植患者的更佳选择。