Almeida Catarina F, Fonseca Liliana, Ramos Inês, Amado Fátima, Vieira Lúcia, Lopes Sara B, Salselas Ana, Roncon Susana
Immunohemotherapy Department, Unidade de Saúde Local da Região de Aveiro, Aveiro, PRT.
Immunohemotherapy Department, Unidade Local de Saúde de Viseu Dão-Lafões, Viseu, PRT.
Cureus. 2024 Dec 15;16(12):e75730. doi: 10.7759/cureus.75730. eCollection 2024 Dec.
Acute lymphoblastic leukemia (ALL) poses a significant challenge due to its high relapse rate despite initial chemotherapy. Cell therapy plays an important and promising role in refractory ALL cases. The aim is to present a complex case of a 20-year-old male patient with relapsed ALL and to explore the different therapeutic options of cellular therapy - allogeneic hematopoietic stem cell transplantation, donor lymphocyte infusion, and chimeric antigen receptor T - detailing the collection, processing, and infusion, as well as the associated complications and management strategies. Data were collected from patient records. This case highlights the evolving landscape of immunotherapy in hematological malignancies and emphasizes the importance of optimizing cellular therapy approaches for improved patient outcomes.
急性淋巴细胞白血病(ALL)尽管进行了初始化疗,但由于其高复发率,仍然构成重大挑战。细胞疗法在难治性ALL病例中发挥着重要且有前景的作用。目的是介绍一名20岁复发性ALL男性患者的复杂病例,并探讨细胞疗法的不同治疗选择——异基因造血干细胞移植、供体淋巴细胞输注和嵌合抗原受体T细胞疗法——详细说明采集、处理和输注过程,以及相关并发症和管理策略。数据从患者记录中收集。该病例突出了血液系统恶性肿瘤免疫疗法的不断发展态势,并强调了优化细胞疗法方法以改善患者预后的重要性。