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自体骨髓移植作为巩固治疗在急性早幼粒细胞白血病完全缓解患者中的作用。

Role of autologous bone marrow transplantation as consolidation therapy in acute promyelocytic leukemia patients in complete remission.

作者信息

Ottaviani E, Martinelli G, Testoni N, Visani G, Tani M, Tura S

出版信息

Haematologica. 1998 Nov;83(11):1051-5.

PMID:9864933
Abstract

Autologous bone marrow transplantation (ABMT), which consents a low mortality rate, has been proposed as an alternative approach to maintenance chemotherapy in patients with acute promyelocytic leukemia (APL) in first complete remission irrespective of the patients' molecular status. Sixteen patients with acute APL in complete remission were submitted to ABMT and were analyzed for the presence of the PML-RARa fusion gene by reverse transcription-polymerase chain reaction (RT-PCR). Our study demonstrated that continued positivity of PCR analysis before ABMT could predict subsequent relapse in patients who undergo un-purged ABMT procedures.

摘要

自体骨髓移植(ABMT)死亡率较低,已被提议作为初治完全缓解的急性早幼粒细胞白血病(APL)患者维持化疗的替代方法,无论患者的分子状态如何。16例完全缓解的急性APL患者接受了ABMT,并通过逆转录聚合酶链反应(RT-PCR)分析PML-RARa融合基因的存在情况。我们的研究表明,在接受未净化ABMT程序的患者中,ABMT前PCR分析持续呈阳性可预测随后的复发。

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引用本文的文献

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Delayed hematopoietic recovery after auto-SCT in patients receiving arsenic trioxide-based therapy for acute promyelocytic leukemia: a multi-center analysis.接受三氧化二砷治疗的急性早幼粒细胞白血病患者自体造血干细胞移植后造血恢复延迟:一项多中心分析。
Bone Marrow Transplant. 2015 Jan;50(1):40-4. doi: 10.1038/bmt.2014.201. Epub 2014 Sep 22.
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Advances in therapies for acute promyelocytic leukemia.急性早幼粒细胞白血病治疗的进展。
Cancer Sci. 2011 Nov;102(11):1929-37. doi: 10.1111/j.1349-7006.2011.02045.x. Epub 2011 Aug 24.