Aggressive chemotherapy for acute leukemia relapsed after transplantation.

Abstract:

:Bone marrow transplantation procedure has emerged as an effective treatment for hematological malignancies. However, recurrence of leukemia is still the major cause of treatment failure. Subsequent treatment in this category of patients, generally considered incurable, has not been yet standardized. At our institution, 13 patients, 7 with acute non lymphoid leukemia (ANLL) and 6 with acute lymphoid leukemia (ALL), were treated at relapse after bone marrow transplantation either autologous or allogeneic (AuBMT 8, ABMT 4) performed in complete remission (CR). The interval between BMT and relapse was less than 9 months in 6 patients (2 ABMT and 4 AuBMT) and more than 9 months in 7 patients. Early relapsed patients showed no response to treatment and died at a median of 5.5 months (range 1-13) after relapse. Late relapse after BMT was characterized by a high percentage of response (5 CR and 1 PR), particularly after intensive chemotherapy and by a longer survival (median 14 months; range 2-36). Chemotherapy after transplantation should be carefully evaluated in patients relapsed after BMT in order to select a population that can achieve long term disease free survival.

journal_name

Leuk Lymphoma

journal_title

Leukemia & lymphoma

authors

Sica S,Salutari P,Di Mario A,D'Onofrio G,Etuk B,Leone G

doi

10.3109/10428199409051687

subject

Has Abstract

pub_date

1994-09-01 00:00:00

pages

131-4

issue

1-2

eissn

1042-8194

issn

1029-2403

journal_volume

15

pub_type

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