Socie Gerard
AP-HP Hospital Saint Louis, Paris, France.
J Clin Oncol. 2022 Oct 1;40(28):3235-3238. doi: 10.1200/JCO.22.01177. Epub 2022 Aug 5.
Journal Journal of Clinical Oncology, Hematopoietic stem-cell transplantation (HSCT) has been used for more than four decades as consolidation therapy in acute myelogenous leukemia (AML). Allogeneic HSCT is almost universally used today, and autologous HSCT nearly disappeared from daily practice. Improvement in transplantation strategies, supportive care, and increased donor source availability led to increased numbers of long-term survivors after HSCT. In the accompanying paper of this ground rounds, Armenian and coworkers analyzed the burden of late complications after HSCT for AML in a large cohort of patients and compared severe/life-threatening conditions with those of siblings. This study reinforces the need for prolonged clinical follow-up of transplanted patients otherwise nearly cured of their original disease for late malignant and nonmalignant complications.
《临床肿瘤学杂志》造血干细胞移植(HSCT)作为急性髓系白血病(AML)的巩固治疗方法已使用了四十多年。如今,异基因HSCT几乎被广泛应用,而自体HSCT在日常实践中几乎消失。移植策略的改进、支持性护理以及供体来源的增加,使得HSCT后的长期存活者数量增多。在本次临床病例讨论的附文中,亚美尼亚及其同事分析了一大群AML患者HSCT后晚期并发症的负担,并将严重/危及生命的情况与同胞患者进行了比较。这项研究强化了对移植患者进行长期临床随访的必要性,否则这些患者原本几乎已治愈的疾病可能会出现晚期恶性和非恶性并发症。