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罕见淋巴增殖性疾病和组织细胞疾病中的移植

Transplantation in rare lymphoproliferative and histiocytic disorders.

作者信息

Cruz-Chacon Alexis, Mathews John, Ayala Ernesto

机构信息

Department of Blood and Marrow Transplantation, Moffitt Cancer Center, Tampa, FL 33612, USA.

出版信息

Cancer Control. 2014 Oct;21(4):335-42. doi: 10.1177/107327481402100410.

DOI:10.1177/107327481402100410
PMID:25310215
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5798615/
Abstract

BACKGROUND

Some uncommon lymphoproliferative and histiocytic disorders may present with an aggressive course and require hematopoietic stem cell transplantation (HSCT) as part of the therapeutic approach.

METHODS

Published research on the use of HSCT for the treatment of these disorders was reviewed and summarized.

RESULTS

Allogeneic HSCT may be indicated in patients with blastic plasmacytoid dendritic cell neoplasia, familial or secondary recurrent hemophagocytic lymphohistiocytosis, and resistant Langerhans cell histiocytosis. Autologous HSCT may be considered in patients with Castleman disease resistant to treatment. No role has been established for the use of HSCT for dendritic cell sarcoma.

CONCLUSIONS

HSCT has an evolving role in the treatment of select aggressive lymphoproliferative and histiocytic disorders.

摘要

背景

一些罕见的淋巴增殖性和组织细胞性疾病可能呈侵袭性病程,需要将造血干细胞移植(HSCT)作为治疗方法的一部分。

方法

对已发表的关于使用HSCT治疗这些疾病的研究进行了综述和总结。

结果

异基因HSCT可能适用于母细胞性浆细胞样树突状细胞肿瘤、家族性或继发性复发性噬血细胞性淋巴组织细胞增生症以及难治性朗格汉斯细胞组织细胞增生症患者。对于治疗抵抗的Castleman病患者可考虑自体HSCT。HSCT在树突状细胞肉瘤的治疗中尚无明确作用。

结论

HSCT在某些侵袭性淋巴增殖性和组织细胞性疾病的治疗中作用不断演变。

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Haploidentical parental hematopoietic stem cell transplantation in pediatric refractory Langerhans cell histiocytosis.单倍体相合亲体造血干细胞移植治疗儿童难治性朗格汉斯细胞组织细胞增多症
Pediatr Transplant. 2014 Jun;18(4):E124-9. doi: 10.1111/petr.12244. Epub 2014 Mar 19.
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An intermediate alemtuzumab schedule reduces the incidence of mixed chimerism following reduced-intensity conditioning hematopoietic cell transplantation for hemophagocytic lymphohistiocytosis.阿仑单抗中等剂量方案可降低噬血细胞性淋巴组织细胞增生症患者接受降低强度预处理的造血干细胞移植后混合嵌合体的发生率。
Biol Blood Marrow Transplant. 2013 Nov;19(11):1625-31. doi: 10.1016/j.bbmt.2013.09.001. Epub 2013 Sep 10.
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Management of adult patients with Langerhans cell histiocytosis: recommendations from an expert panel on behalf of Euro-Histio-Net.成人朗格汉斯细胞组织细胞增生症患者的管理:代表欧洲组织细胞增生症网络的专家小组的建议。
Orphanet J Rare Dis. 2013 May 14;8:72. doi: 10.1186/1750-1172-8-72.
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