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[使用冷冻保存的骨髓细胞,为一名急性淋巴细胞白血病患者进行来自其75岁母亲的骨髓移植]

[Bone marrow transplantation for a patient with ALL from her 75-year-old mother using cryopreserved bone marrow cells].

作者信息

Uike N, Suehiro Y, Takahira H, Shimada Y, Nagatoshi Y, Ikuno Y, Okamura J, Tasaka H, Miyamura T, Ishikura H

机构信息

Department of Hematology, National Kyushu Cancer Center Hospital.

出版信息

Rinsho Ketsueki. 1994 Aug;35(8):801-3.

PMID:7933569
Abstract

We report a 42-year-old woman with acute lymphoblastic leukemia who received allogeneic bone marrow transplantation (BMT) in the first remission from her 75-year-old, HLA-identical, MLC-non-reactive mother. Considering the difficulty to obtain a sufficient number of bone marrow cells from such an old donor, we harvested the cells (2.31 x 10(8)/kg) on day -37 and cryopreserved them until use. BMT was performed on June 3rd, 1993 after conditioning regimen with total body irradiation, high-dose AraC and cyclophosphamide. Graft-versus-host disease (GVHD) prophylaxisis was attempted by cyclosporin A and short-term methtrexate. Her hematopoietic recovery was favorable with no signs and symptoms of GVHD as far as day 218.

摘要

我们报告了一名42岁的急性淋巴细胞白血病女性患者,她在首次缓解期接受了来自其75岁、HLA配型相同、混合淋巴细胞培养无反应的母亲的异基因骨髓移植(BMT)。考虑到从如此高龄的供体获取足够数量骨髓细胞存在困难,我们在移植前第37天采集了细胞(2.31×10⁸/kg)并冷冻保存直至使用。1993年6月3日,在进行全身照射、大剂量阿糖胞苷和环磷酰胺预处理后进行了BMT。尝试使用环孢素A和短期甲氨蝶呤预防移植物抗宿主病(GVHD)。直到第218天,她的造血恢复良好,没有GVHD的体征和症状。

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