A second autologous transplant may be efficacious in selected patients with Hodgkin's lymphoma relapsing after a previous autograft.

Abstract:

:Treatment options for patients who relapse following autologous transplantation for Hodgkin's lymphoma are limited. There are anecdotal reports of lengthy remissions following second autologous procedures, although treatment-related toxicity can be significant. We report a single centre experience of second autologous transplant performed in seven highly selected patients, who relapsed following initial high-dose therapy. They were all young and had slow tempo disease, which was still sensitive to conventional dose chemotherapy. All received BEAM conditioning for the first transplant, and six of the seven received BEAM for the second. All six of these patients regenerated successfully and with no delay, the final patient dying during the procedure following alternative conditioning. Only one case of presumed carmustine-related pneumonitis was seen, which responded rapidly to corticosteroid therapy. Four patients have subsequently relapsed, of whom three have died at 29, 33, and 38 months postprocedure. One is alive with active disease at 68 months, and the final two are alive and in continuing complete remission at 104 and 68 months.

journal_name

Leuk Lymphoma

journal_title

Leukemia & lymphoma

authors

Thomson KJ,Peggs KS,Blundell E,Goldstone AH,Linch DC

doi

10.1080/10428190701216394

subject

Has Abstract

pub_date

2007-05-01 00:00:00

pages

881-4

issue

5

eissn

1042-8194

issn

1029-2403

pii

778354739

journal_volume

48

pub_type

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