Sharma Sanjeev Kumar, Choudhary Dharma, Doval Divya, Khandelwal Vipin, Setia Rasika, Dadu Tina, Handoo Anil
Center for Bone Marrow Transplant, BLK Super Speciality Hospital, New Delhi, India.
South Asian J Cancer. 2021 Oct 15;11(1):62-67. doi: 10.1055/s-0041-1731599. eCollection 2022 Jan.
Sanjeev Kumar SharmaHematopoietic stem cell transplantation (HSCT) is the preferred treatment for high-risk and relapsed/refractory hematological malignancies. Moreover, with the improved supportive care and increasing acceptance of haploidentical transplantations as an alternative treatment modality, more patients are opting for HSCT as a definite treatment for hematological malignancies. We report here the real-world data and outcome of HSCT done for hematological malignancies at our transplant center. Five hundred and sixteen patients underwent HSCT from August 2010 to November 2019. The most common indications for allogeneic and autologous HSCT were acute myeloid leukemia and multiple myeloma, respectively. The 5-year overall survival and disease-free survival for all transplants were 65% and 33%, respectively. Though outcome of matched sibling donor allogeneic transplant is better than haploidentical donor (HID) transplant, patients having only HID can still be considered for allogeneic HSCT for high-risk diseases. The most common cause of death was infections followed by relapse of the disease.
桑吉夫·库马尔·夏尔马
造血干细胞移植(HSCT)是高危及复发/难治性血液系统恶性肿瘤的首选治疗方法。此外,随着支持治疗的改善以及单倍体相合移植作为一种替代治疗方式越来越被接受,越来越多的患者选择HSCT作为血液系统恶性肿瘤的明确治疗方法。我们在此报告我们移植中心针对血液系统恶性肿瘤进行HSCT的真实世界数据及结果。2010年8月至2019年11月期间,516例患者接受了HSCT。异基因和自体HSCT最常见的适应证分别为急性髓系白血病和多发性骨髓瘤。所有移植的5年总生存率和无病生存率分别为65%和33%。尽管匹配同胞供体异基因移植的结果优于单倍体相合供体(HID)移植,但仅有HID的患者对于高危疾病仍可考虑进行异基因HSCT。最常见的死亡原因是感染,其次是疾病复发。