Radioimmunotherapy in relapsed follicular lymphoma previously treated by autologous bone marrow transplant: a report of eight new cases and literature review

被引:6
作者
Peyrade, Frederic [1 ]
Triby, Caroline [1 ]
Slama, Bohane [2 ]
Fontana, Xavier [1 ]
Gressin, Remy [3 ]
Broglia, Jean-Marc [2 ]
Lepeu, Gerard [2 ]
Carrier, Patricia [1 ]
Peyrottes, Isabelle [1 ]
Darcourt, Jacques [1 ]
Bondiau, Pierre-Yves [1 ]
Thyss, Antoine [1 ]
机构
[1] Ctr Antoine Lacassagne, F-06054 Nice, France
[2] Ctr Hosp Avignon, Avignon, France
[3] CHU Grenoble, F-38043 Grenoble, France
关键词
follicular lymphoma; ibritumomab tiuxetan; autologous bone marrow transplantation;
D O I
10.1080/10428190802273278
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Multicenter, retrospective study of standard-dose RIT in eight heavily pre-treated patients with CD20-positive follicular lymphoma who had relapsed after previous autologous bone marrow transplantation (ABMT). Patients underwent nine courses of (90)Y-ibritumomab tiuxetan (0.3 or 0.4 mCi/kg body weight). Responses included five CR, two PR, one SD and one PD. Median DFS was 12 months with median follow-up of 17 months and 1-year OS was 83% (7/8 patients). Grade 4 thrombocytopenia occurred in 7/9 treatments, with no episodes of bleeding, and only two patients received a platelet transfusion. One patient, who had 20% bone marrow involvement at the time of relapse diagnosis, presented with Grade 4 thrombocytopenia and Grade 4 neutropenia and died of septic shock 6 months after RIT. One other case of Grade 4 neutropenia, without a serious infectious syndrome, was observed. Standard-dose RIT seems feasible and potentially effective after ABMT in correctly selected patients with follicular lymphoma.
引用
收藏
页码:1762 / 1768
页数:7
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