Toren A, Rechavi G, Nagler A
Department of Bone Marrow Transplantation, Hadassah University Hospital, Jerusalem, Israel.
Med Oncol. 1998 Jul;15(2):109-12. doi: 10.1007/BF02989588.
Although autologous bone marrow transplantation (ABMT) is a curative option for about 50% of the patients with progressive or relapsing lymphomas, considerable concern has been raised recently over the emerging rates of secondary malignancies following ABMT. A 15% cumulative incidence of myelodysplasia 5 years after BMT is of major concern. We hereby describe a unique form of leukaemia occurring 4-6 weeks post ABMT for non-Hodgkin's lymphoma patients. The possible etiology for this phenomenon as well as its relation to the classical MDS post ABMT is discussed.
尽管自体骨髓移植(ABMT)是约50%进展期或复发性淋巴瘤患者的一种治愈性选择,但最近人们对ABMT后继发性恶性肿瘤的发生率不断上升表示了极大关注。骨髓移植后5年骨髓发育异常的累积发生率为15%,这是主要关注点。我们在此描述了一种在非霍奇金淋巴瘤患者ABMT后4 - 6周出现的独特白血病形式。讨论了这种现象的可能病因及其与ABMT后经典骨髓增生异常综合征的关系。