Gupta Alok, Khattry Navin
Department of Medical Oncology, Bone Marrow Transplant Unit, ACTREC, Tata Memorial Centre, Mumbai, Maharashtra, India.
Indian J Med Paediatr Oncol. 2014 Jul;35(3):207-10. doi: 10.4103/0971-5851.142036.
Indications for hematopoietic stem cell transplant (HSCT) in chronic myeloid leukemia (CML) have changed over time. This change has largely been influenced by the advent of tyrosine kinase inhibitors, increased understanding of the mechanisms underlying disease phase progression as well as drug resistance, refinement of transplant techniques and exploitation of graft versus leukemia effect in this disease. Here, we have discussed the status of HSCT in CML in the present era with regards to the current indications, factors determining outcome and management strategies for posttransplant relapse.
慢性粒细胞白血病(CML)中造血干细胞移植(HSCT)的适应证随时间发生了变化。这种变化在很大程度上受到酪氨酸激酶抑制剂的出现、对疾病阶段进展及耐药机制的深入理解、移植技术的改进以及该疾病中移植物抗白血病效应的利用等因素的影响。在此,我们讨论了当今时代CML中HSCT的现状,包括当前的适应证、决定预后的因素以及移植后复发的管理策略。