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Azacitidine as a bridge to allogeneic hematopoietic cell transplantation in a pediatric patient with Fanconi anemia and acute myeloid leukemia
被引:6
|作者:
Ding, Hilda
[1
]
Hashem, Hasan
[1
]
Cabral, Linda
[1
]
Rangarajan, Hemalatha
[2
]
Abusin, Ghada
[3
]
Lazarus, Hillard M.
[4
]
Abu-Arja, Rolla
[2
]
机构:
[1] Case Med Ctr, Pediat Hematol Oncol & Bone Marrow Transplantat, Univ Hosp Rainbow Babies & Childrens Hosp, Cleveland, OH USA
[2] Nationwide Childrens Hosp, Pediat Hematol Oncol & Bone Marrow Transplant, Columbus, OH USA
[3] Univ Iowa, Childrens Hosp, Pediat Hematol Oncol & Bone Marrow Transplant, Iowa City, IA USA
[4] Univ Hosp Case Med Ctr, Dept Haematol & Med Oncol, Cleveland, OH USA
关键词:
acute myeloid leukemia;
azacitidine;
donor lymphocyte infusion;
Fanconi anemia;
hematopoietic cell transplant;
pediatric;
CONVENTIONAL CARE REGIMENS;
SALVAGE THERAPY;
CHILDREN;
AML;
CHEMOTHERAPY;
DECITABINE;
RELAPSE;
MDS;
D O I:
10.1111/petr.12870
中图分类号:
R72 [儿科学];
学科分类号:
100202 ;
摘要:
HCT is the definitive therapy for patients with FA and AML. Conventional cytotoxic agents cause potential DNA damage, and currently, there is no established regimen for these patients prior to HCT. A 13-year-old male with FA and refractory AML was given azacitidine, achieved morphologic remission and underwent HCT. At 95 days after HCT, he relapsed. Azacitidine along with DLI was used as first salvage therapy. Azacitidine was overall well tolerated with minimal side effects. In patients with AML and FA, azacitidine can be considered an alternative to conventional chemotherapy.
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