Therapy-related myelodysplasia and leukemia occur infrequently following VP-16 priming and autotransplantation without total body irradiation

被引:9
作者
Copelan, E
Hoshaw-Woodard, S
Elder, P
Penza, S
Farag, S
Marcucci, G
Lin, T
Ezzone, S
Scholl, MD
Bechtel, T
Lemeshow, S
Avalos, B
机构
[1] Ohio State Univ, Med Ctr, Arthur G James Canc Hosp, Bone Marrow Transplantat Program, Columbus, OH 43210 USA
[2] Ohio State Univ, Med Ctr, Richard J Solove Res Inst, Columbus, OH 43210 USA
[3] Ohio State Univ, Med Ctr, Arthur G James Canc Hosp, Biostat Program, Columbus, OH 43210 USA
[4] Ohio State Univ, Med Ctr, Arthur G James Canc Hosp, Dept Pharm, Columbus, OH 43210 USA
关键词
secondary AML; autotransplantation; VP-16;
D O I
10.1038/sj.bmt.1704532
中图分类号
Q6 [生物物理学];
学科分类号
071011 ;
摘要
The use of VP-16 for stem cell mobilization has been cited as a significant risk factor for the development of therapy-related myelodysplasia/leukemia (tMDS/tAML) following autologous transplantation. The present study analyzed a large cohort of patients who underwent autotransplantation following stem cell mobilization with VP-16 and radiation-free preparation in order to determine the risk of tMDS/tAML. The estimated incidence of 9.9% at 7 years suggests that in the absence of TBI, VP-16 priming is not associated with an increased incidence of tMDS/tAML.
引用
收藏
页码:85 / 87
页数:3
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