Strategies to Reduce Relapse after Allogeneic Hematopoietic Cell Transplantation in Acute Myeloid Leukemia

被引:10
作者
Mawad, Raya [1 ,2 ]
Lionberger, Jack M. [3 ]
Pagel, John M. [1 ,2 ]
机构
[1] Fred Hutchinson Canc Res Ctr, Div Clin Res, Seattle, WA 98109 USA
[2] Univ Washington, Dept Med, Div Med Oncol, Seattle, WA USA
[3] St Louis Univ, Dept Med, Div Hematol Oncol, St Louis, MO 63103 USA
关键词
Acute myeloid leukemia; Allogeneic hematopoietic cell transplant; Relapse; Strategies; VERSUS-HOST-DISEASE; ACUTE MYELOGENOUS LEUKEMIA; BONE-MARROW-TRANSPLANTATION; DONOR LEUKOCYTE INFUSIONS; WT1 PEPTIDE VACCINATION; PROGNOSTIC-SIGNIFICANCE; OLDER PATIENTS; CYTOGENETIC ABNORMALITIES; HEMATOLOGIC MALIGNANCIES; COMPLETE REMISSION;
D O I
10.1007/s11899-013-0153-6
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The incidence of acute myeloid leukemia (AML) is expected to increase in conjunction with our ageing population. Although it is proving to be a heterogeneous disease process, the only treatment with proven survival benefit for poor risk AML remains allogeneic hematopoietic cell transplant. Although this is presumed to be a curative strategy, many patients relapse after transplant, prompting us to examine various ways that we can improve outcomes. These efforts involve every step of AML diagnostics and therapy, including the intricate processes of conditioning, graft manipulation and immunomodulation. The hope is that improvement in these steps will ultimately improve survival and decrease relapse rates for AML patients after transplant.
引用
收藏
页码:132 / 140
页数:9
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