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急性非淋巴细胞白血病首次缓解期儿童的骨髓移植:最新进展

Marrow transplantation for children in first remission of acute nonlymphoblastic leukemia: an update.

作者信息

Sanders J E, Thomas E D, Buckner C D, Flournoy N, Stewart P S, Clift R A, Lum L, Bensinger W I, Storb R, Appelbaum F R

出版信息

Blood. 1985 Aug;66(2):460-2.

PMID:3893570
Abstract

Thirty-eight children between the ages of 0.8 and 17 years with acute nonlymphoblastic leukemia in first remission induced by chemotherapy were given cyclophosphamide, total body irradiation, and bone marrow transplants from HLA-matched donors. Six patients died of pneumonia, one died of metabolic problems, and one died of chronic graft-v-host disease complications. Five patients relapsed between six months and 3.2 years after transplantation. Three of the five died of leukemia, one survives with leukemia three years after transplantation, and one survives in remission off treatment following chemotherapy for 22 months. Twenty-five survive in continuous remission from 1.7 to 8.4 years after transplantation, and the actuarial analysis shows a disease-free survival rate of 64%, with a plateau extending from 3.5 to 8.4 years. All lead normal lives.

摘要

38名年龄在0.8岁至17岁之间、因化疗诱导处于首次缓解期的急性非淋巴细胞白血病患儿接受了环磷酰胺、全身照射以及来自HLA匹配供者的骨髓移植。6名患者死于肺炎,1名死于代谢问题,1名死于慢性移植物抗宿主病并发症。5名患者在移植后6个月至3.2年复发。5名患者中的3名死于白血病,1名移植后3年仍患白血病存活,1名在接受化疗22个月后停止治疗处于缓解期存活。25名患者在移植后1.7年至8.4年持续缓解存活,精算分析显示无病生存率为64%,3.5年至8.4年为平台期。所有患者均过着正常生活。

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Marrow transplantation for children in first remission of acute nonlymphoblastic leukemia: an update.急性非淋巴细胞白血病首次缓解期儿童的骨髓移植:最新进展
Blood. 1985 Aug;66(2):460-2.
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Blood. 1991 Nov 15;78(10):2780-4.

引用本文的文献

1
Bone marrow purging using monoclonal antibodies.使用单克隆抗体进行骨髓净化。
J Clin Immunol. 1988 Mar;8(2):81-8. doi: 10.1007/BF00917894.
2
[Post-remission treatment of acute leukemia in adulthood: allogeneic bone marrow transplantation or chemotherapy?].[成人急性白血病缓解后治疗:异基因骨髓移植还是化疗?]
Klin Wochenschr. 1988 Jul 15;66(14):614-23. doi: 10.1007/BF01728802.
3
Bone marrow transplantation for leukaemia.白血病的骨髓移植
Arch Dis Child. 1988 Aug;63(8):879-82. doi: 10.1136/adc.63.8.879.
4
Acute non-lymphoblastic leukemias in childhood.
Indian J Pediatr. 1989 Nov-Dec;56(6):683-92. doi: 10.1007/BF02724450.
5
Bone marrow transplantation. Part I--Allogeneic.骨髓移植。第一部分——同种异体移植。
West J Med. 1989 Dec;151(6):638-43.