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成人非典型畸胎样横纹肌样瘤中自体干细胞移植:一例病例报告及文献复习。

Autologous stem cell transplantation in adults with atypical teratoid rhabdoid tumor: a case report and review.

机构信息

Indiana University School of Medicine, Indianapolis, Indiana, USA, 46202.

Indiana University School of Medicine, Department of Pathology, Indianapolis, Indiana, USA, 46202.

出版信息

CNS Oncol. 2024 Dec 31;13(1):2375960. doi: 10.1080/20450907.2024.2375960. Epub 2024 Jul 23.

Abstract

Atypical teratoid rhabdoid tumor (ATRT) is a rare and highly aggressive primary CNS neoplasm, predominantly observed in children. The use of autologous stem cell transplantation (ASCT) in pediatric ATRT has shown promise; however, its utility in adult ATRT remains unclear. This study presents the case of an adult patient with ATRT who is in remission after ASCT and reviews the literature on ASCT in adults with ATRT. Four cases of ATRT in adults who underwent ASCT were identified, with pertinent data summarized. All five patients survived longer than the historical average survival rate, four of whom had no clinical or radiographic evidence of disease at the final follow-up. Based on limited data, there may be a role for ASCT in the treatment of adults with ATRT.

摘要

非典型畸胎样/横纹肌样瘤(ATRT)是一种罕见且高度侵袭性的中枢神经系统原发性肿瘤,主要发生于儿童。自体造血干细胞移植(ASCT)在儿科 ATRT 中的应用显示出一定的前景;然而,其在成人 ATRT 中的应用尚不清楚。本研究报告了一例接受 ASCT 后处于缓解期的成人 ATRT 患者,并复习了成人 ATRT 患者行 ASCT 的文献。共确定了 4 例接受 ASCT 的成人 ATRT 病例,并对相关数据进行了总结。5 例患者的生存时间均长于历史平均生存率,其中 4 例在最终随访时无临床或影像学疾病证据。基于有限的数据,ASCT 可能在成人 ATRT 的治疗中具有一定作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca9f/11285279/8396b71d7d99/ICNS_A_2375960_F0001_C.jpg

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