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Chinese Journal of Clinical Pharmacology and Therapeutics ›› 2018, Vol. 23 ›› Issue (12): 1397-1401.doi: 10.12092/j.issn.1009-2501.2018.12.014

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Clinical observation of 40 patients with malignant lymphoma treated with high dose chemotherapy combined with autologous hematopoietic stem cell transplantation

FENG Yuanyuan, DING Kaiyang, WANG Cuicui   

  1. Department of Hematology, the West Part of the First Affiliated Hospital of University of Science and Technology of China (Anhui Provincial Cancer Hospital) , Hefei 230000, Anhui, China
  • Received:2018-07-26 Revised:2018-08-21 Online:2018-12-26 Published:2018-12-27

Abstract:

AIM: To investigate the therapeutic effect of the patients with malignant lymphoma treated with high dose chemotherapy combined with autologous hematopoietic stem cell transplantation (AHSCT).METHODS: The follow up data in 40 patients with malignant lymphoma who recieved AHSCT in Anhui Province Cancer Hospital from March 2013 to February 2018 were analyzed retrospectively.Of the 40 patients, 4 were Hodgkin's lymphoma (HL) and 36 were non-Hodgkin's lymphoma (NHL). To mobilize peripheral hematopoietic stem cell, etoposide combined with G-CSF was used. Preconditioning regimens included BEAM, CBV and BEAC. RESULTS:All patients were collected enough peripheral blood stem cells.None of the patients were died for the risks of AHSCT. The median time of the absolute neutrophil count (ANC) implanted was 10 (7-17) days.And the median time of platelet count implanted was 12 (6-25) days.The median survival time was 15 (1-53) months, progression free survival (PFS) was 72.5%,and overall survival (OS) was 82.5%.The patients who achieved CR status before transplantation could have a favorable prognosis. The prognosis in the patients with IPI score>2 was poor.CONCLUSION:AHSCT can improve the prognosis of patients with malignat lymphoma.

Key words: lymphoma, autologous hematopoietic stem cell transplantation, hematopoietic stem cell transplantation

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