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Zinke-Cerwenka, W; Valentin, A; Posch, U; Beham-Schmid, C; Groselj-Strele, A; Linkesch, W; Wölfler, A; Sill, H.
Reduced-intensity allografting in patients with therapy-related myeloid neoplasms and active primary malignancies.
Bone Marrow Transplant. 2011; 46(12):1540-1544
Doi: 10.1038/bmt.2011.165
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- Führende Autor*innen der Med Uni Graz
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Sill Heinz
- Co-Autor*innen der Med Uni Graz
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Beham-Schmid Christine
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Groselj-Strele Andrea
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Linkesch Werner
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Posch Ursula
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Wölfler Albert
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- Abstract:
- Therapy-related myeloid neoplasms (t-MNs) are severe long-term consequences of cytotoxic treatments for a primary, often, malignant disorder. So far, the majority of patients eligible for transplantation have undergone myeloablative allo haematopoietic SCT (HSCT) as a potentially curative treatment, but it has been associated with high transplantation-related mortality (TRM) rates. In this retrospective study, we analysed the outcome of patients with t-MNs undergoing HSCT with reduced-intensity conditioning (RIC). Of 55 patients, seen at a single centre over a 10-year period, 17 underwent RIC HSCT with related or unrelated donors. The estimated overall survival was 53% at 1 year and 47% at 3 years, and disease-free survival was 47% at 1 year. At 1 year, the cumulative incidence of relapse and TRM were 24% and 30%, respectively. Of five patients with active primary neoplasms who underwent transplantation, two are alive beyond 1 year and show CR of both t-MNs and the primary malignancy. These data indicate that RIC HSCT is an encouraging approach for patients with t-MNs. The issue of primary malignancies not being in remission at the time of transplantation should be explored in further studies.
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Adult -
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Aged -
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Disease-Free Survival -
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Female -
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Hematologic Neoplasms - mortality
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Hematopoietic Stem Cell Transplantation -
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Humans -
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Male -
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Middle Aged -
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Retrospective Studies -
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Survival Rate -
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Time Factors -
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Transplantation Conditioning -
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Transplantation, Homologous -
- Find related publications in this database (Keywords)
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therapy-related myeloid neoplasms
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reduced-intensity allografting
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graft-vs-primary malignancy