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异基因造血细胞移植治疗成人急性髓系白血病第二次缓解期:日本血液细胞移植学会(JSHCT)成人急性髓系白血病工作组的回顾性研究。

Allogeneic haematopoietic cell transplantation for adult acute myeloid leukaemia in second remission: a retrospective study of the Adult Acute Myeloid Leukaemia Working Group of the Japan Society for Haematopoietic Cell Transplantation (JSHCT).

机构信息

Department of Haematology/Oncology, The Institute of Medical Science, The University of Tokyo, Tokyo, Japan.

Department of Haematology, Fujita Health University School of Medicine, Toyoake, Japan.

出版信息

Br J Haematol. 2018 Jul;182(2):245-250. doi: 10.1111/bjh.15399. Epub 2018 May 29.

Abstract

To evaluate the outcomes and prognostic factors following allogeneic haematopoietic cell transplantation (HCT) for adult acute myeloid leukaemia (AML) in second complete remission (CR2), we retrospectively analysed the Japanese registration data of 1080 adult AML patients in CR2 who had received allogeneic HCT. The probability of overall survival and the cumulative incidence of relapse at 3 years was 66% and 19%, respectively. In multivariate analysis, older age, poor cytogenetics and shorter duration of first complete remission were significantly associated with a higher overall mortality. Our data demonstrated the significant efficacy of allogeneic HCT for adult AML in CR2.

摘要

为了评估成人急性髓系白血病(AML)在第二次完全缓解(CR2)后接受异基因造血细胞移植(HCT)的结果和预后因素,我们回顾性分析了 1080 例在 CR2 接受异基因 HCT 的成年 AML 患者的日本注册数据。3 年时的总生存率和复发累积发生率分别为 66%和 19%。多变量分析显示,年龄较大、细胞遗传学不良和首次完全缓解持续时间较短与总死亡率升高显著相关。我们的数据表明,异基因 HCT 对 CR2 成人 AML 具有显著疗效。

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