Treatment of Older Patients with High-Risk Myelodysplastic Syndromes (MDS): The Emerging Role of Allogeneic Hematopoietic Stem Cell Transplantation (Allo HSCT)

被引:12
作者
Atallah, Ehab [1 ]
Bylow, Kathryn [1 ]
Troy, Jesse [2 ]
Saber, Wael [1 ,3 ]
机构
[1] Med Coll Wisconsin, Milwaukee, WI 53226 USA
[2] EMMES Corp, Rockville, MD 20850 USA
[3] Med Coll Wisconsin, Ctr Int Blood & Marrow Transplant Res, Milwaukee, WI 53226 USA
关键词
MDS; Allogeneic hematopoietic stem cell transplantation; Age; Comprehensive geriatric assessment; Hypomethylating agents; ACUTE MYELOID-LEUKEMIA; COMPREHENSIVE GERIATRIC ASSESSMENT; BONE-MARROW-TRANSPLANTATION; ACUTE MYELOGENOUS LEUKEMIA; PROGNOSTIC SCORING SYSTEM; UNITED-STATES; BIOLOGICAL ASSIGNMENT; CHEMOTHERAPY TOXICITY; ELDERLY-PATIENTS; PHASE-III;
D O I
10.1007/s11899-013-0195-9
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
MDS are myeloid clonal hematologic disorders that are most commonly diagnosed in the seventh decade of life. Several treatment options are currently available. However, allo HSCT remains the only curative therapy. Unfortunately, despite the higher incidence of MDS in the older population, less than 10 % of patients undergoing allo HSCT for MDS are > 65 years old. In this paper we discuss the various treatment options in older patients with high-risk MDS with particular emphasis on the role of allo HSCT in older MDS patients.
引用
收藏
页码:57 / 65
页数:9
相关论文
共 64 条
[1]   Efficacy and safety of lenalidomide in intermediate-2 or high-risk myelodysplastic syndromes with 5q deletion: results of a phase 2 study [J].
Ades, Lionel ;
Boehrer, Simone ;
Prebet, Thomas ;
Beyne-Rauzy, Odile ;
Legros, Laurence ;
Ravoet, Christophe ;
Dreyfus, Francois ;
Stamatoullas, Aspasia ;
Chaury, Marie Pierre ;
Delaunay, Jacques ;
Laurent, Guy ;
Vey, Norbert ;
Burcheri, Sara ;
Mbida, Rose-Marie ;
Hoarau, Natacha ;
Gardin, Claude ;
Fenaux, Pierre .
BLOOD, 2009, 113 (17) :3947-3952
[2]   Iron Overload in Patients with Acute Leukemia or MDS Undergoing Myeloablative Stem Cell Transplantation [J].
Armand, Philippe ;
Kim, Haesook T. ;
Rhodes, Joanna ;
Sainvil, Marie-Michele ;
Cutler, Corey ;
Ho, Vincent T. ;
Koreth, John ;
Alyea, Edwin P. ;
Hearsey, Doreen ;
Neufeld, Ellis J. ;
Fleming, Mark D. ;
Steen, Hanno ;
Anderson, Damon ;
Kwong, Raymond Y. ;
Soiffer, Robert. ;
Antin, Joseph H. .
BIOLOGY OF BLOOD AND MARROW TRANSPLANTATION, 2011, 17 (06) :852-860
[3]  
Atallah E, 2012, ASH ANN M
[4]  
Bejar R., 2012, BLOOD, V120, P311
[5]   Clinical Effect of Point Mutations in Myelodysplastic Syndromes [J].
Bejar, Rafael ;
Stevenson, Kristen ;
Abdel-Wahab, Omar ;
Galili, Naomi ;
Nilsson, Bjoern ;
Garcia-Manero, Guillermo ;
Kantarjian, Hagop ;
Raza, Azra ;
Levine, Ross L. ;
Neuberg, Donna ;
Ebert, Benjamin L. .
NEW ENGLAND JOURNAL OF MEDICINE, 2011, 364 (26) :2496-2506
[6]  
BENNETT JM, 1982, BRIT J HAEMATOL, V51, P189, DOI 10.1111/j.1365-2141.1982.tb08475.x
[7]   Clinical response and miR-29b predictive significance in older AML patients treated with a 10-day schedule of decitabine [J].
Blum, William ;
Garzon, Ramiro ;
Klisovic, Rebecca B. ;
Schwind, Sebastian ;
Walker, Alison ;
Geyer, Susan ;
Liu, Shujun ;
Havelange, Violaine ;
Becker, Heiko ;
Schaaf, Larry ;
Mickle, Jon ;
Devine, Hollie ;
Kefauver, Cheryl ;
Devine, Steven M. ;
Chan, Kenneth K. ;
Heerema, Nyla A. ;
Bloomfield, Clara D. ;
Grever, Michael R. ;
Byrd, John C. ;
Villalona-Calero, Miguel ;
Croce, Carlo M. ;
Marcucci, Guido .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 2010, 107 (16) :7473-7478
[8]   Attempts to Optimize Induction and Consolidation Treatment in Acute Myeloid Leukemia: Results of the MRC AML12 Trial [J].
Burnett, Alan K. ;
Hills, Robert K. ;
Milligan, Donald W. ;
Goldstone, Anthony H. ;
Prentice, Archibald G. ;
McMullin, Mary-Frances ;
Duncombe, Andrew ;
Gibson, Brenda ;
Wheatley, Keith .
JOURNAL OF CLINICAL ONCOLOGY, 2010, 28 (04) :586-595
[9]   Comprehensive Geriatric Assessment in the Decision-Making Process in Elderly Patients With Cancer: ELCAPA Study [J].
Caillet, Philippe ;
Canoui-Poitrine, Florence ;
Vouriot, Johanna ;
Berle, Muriel ;
Reinald, Nicoleta ;
Krypciak, Sebastien ;
Bastuji-Garin, Sylvie ;
Culine, Stephane ;
Paillaud, Elena .
JOURNAL OF CLINICAL ONCOLOGY, 2011, 29 (27) :3636-3642
[10]   Chemotherapy compared with autologous or allogeneic bone marrow transplantation in the management of acute myeloid leukemia in first remission [J].
Cassileth, PA ;
Harrington, DP ;
Appelbaum, FR ;
Lazarus, HM ;
Rowe, JM ;
Paietta, E ;
Willman, C ;
Hurd, DD ;
Bennett, JM ;
Blume, KG ;
Head, DR ;
Wiernik, PH .
NEW ENGLAND JOURNAL OF MEDICINE, 1998, 339 (23) :1649-1656