Allogeneic hematopoietic cell transplantation for mycosis fungoides and Sezary syndrome

被引:81
作者
Lechowicz, M. J. [1 ]
Lazarus, H. M. [2 ]
Carreras, J. [3 ]
Laport, G. G. [4 ]
Cutler, C. S. [5 ]
Wiernik, P. H. [6 ]
Hale, G. A. [7 ]
Maharaj, D. [8 ]
Gale, R. P. [9 ]
Rowlings, P. A. [10 ]
Freytes, C. O. [11 ,12 ]
Miller, A. M. [13 ]
Vose, J. M. [14 ]
Maziarz, R. T. [15 ]
Montoto, S. [16 ]
Maloney, D. G. [17 ]
Hari, P. N. [3 ]
机构
[1] Emory Univ Hosp, Atlanta, GA 30322 USA
[2] Univ Hosp, Case Med Ctr, Seidman Canc Ctr, Cleveland, OH USA
[3] Med Coll Wisconsin, Ctr Int Blood & Marrow Transplant Res, Milwaukee, WI 53226 USA
[4] Stanford Univ, Med Ctr, Div Blood & Marrow Transplantat, Stanford, CA 94305 USA
[5] Dana Farber Canc Inst, Boston, MA 02115 USA
[6] Our Lady Mercy Med Ctr, Bronx, NY USA
[7] Childrens Hosp, Pediatr Hematol Oncol BMT, St Petersburg, FL USA
[8] South Florida Bone Marrow Stem Cell Transplant In, Boynton Beach, FL USA
[9] Univ London Imperial Coll Sci Technol & Med, Dept Med, Div Expt Med, Sect Hematol, London, England
[10] Univ Newcastle, HAPS Pathol North, Calvary Mater Newcastle, Callaghan, NSW 2308, Australia
[11] South Texas Vet Hlth Care Syst, San Antonio, TX USA
[12] Univ Texas Hlth Sci Ctr San Antonio, San Antonio, TX 78229 USA
[13] Baylor Univ, Med Ctr, Dallas, TX USA
[14] Nebraska Med Ctr, Div Hematol Oncol, Omaha, NE USA
[15] Oregon Hlth & Sci Univ, Ctr Hematol Malignancies, Portland, OR 97201 USA
[16] Queen Mary Univ London, Barts Canc Inst, London, England
[17] Fred Hutchinson Canc Res Ctr, Seattle, WA 98104 USA
关键词
BONE-MARROW-TRANSPLANTATION; INTERNATIONAL-SOCIETY; LYMPHOMA; ORGANIZATION; BLOOD;
D O I
10.1038/bmt.2014.161
中图分类号
Q6 [生物物理学];
学科分类号
071011 ;
摘要
We describe outcomes after allogeneic hematopoietic cell transplantation (HCT) for mycosis fungoides and Sezary syndrome (MF/SS). Outcomes of 129 subjects with MF/SS reported to the Center for the International Blood and Marrow Transplant from 2000-2009. Median time from diagnosis to transplant was 30 (4-206) months and most subjects were with multiply relapsed/refractory disease. The majority (64%) received non-myeloablative conditioning (NST) or reduced intensity conditioning (RIC). NST/RIC recipients were older in age compared with myeloablative recipients (median age 51 vs 44 years, P = 0.005) and transplanted in recent years. Non-relapse mortality (NRM) at 1 and 5 years was 19% (95% confidence interval (CI) 12-27%) and 22% (95% CI 15-31%), respectively. Risk of disease progression was 50% (95% CI 41-60%) at 1 year and 61% (95% CI 50-71%) at 5 years. PFS at 1 and 5 years was 31% (95% CI 22-40%) and 17% (95% CI 9-26%), respectively. OS at 1 and 5 years was 54% (95% CI 45-63%) and 32% (95% CI 22-44%), respectively. Allogeneic HCT in MF/SS results in 5-year survival in approximately one-third of patients and of those, half remain disease-free.
引用
收藏
页码:1360 / 1365
页数:6
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