SCI 발표논문

SCI 발표논문

← SCI 발표논문 목록

Ann Hematol. 2014;93(8):1345-51.

Allogeneic stem cell transplantation in patients with de novo diffuse large B-cell lymphoma who experienced relapse or progression after autologous stem cell transplantation: a Korea-Japan collaborative study.

, , , , , , , , , , ,

제1저자 김지원 · 교신저자 윤성수

PMID 24633661 DOI 10.1007/s00277-014-2045-9 IF 2.3 혈액종양내과
소속 (1)
  1. Department of Internal Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 110-744, South Korea.

Abstract

Patients with diffuse large B-cell lymphoma (DLBCL) who failed autologous stem cell transplantation (auto-SCT) generally have a poor prognosis. Allogeneic stem cell transplantation (allo-SCT) has been implemented to overcome this problem. We report clinical outcomes of allo-SCT in patients with de novo DLBCL who failed auto-SCT from four hospitals in Korea and Japan. Thirty patients were included. The median age was 39 (range, 22-59) years. The 5-year event-free survival (EFS) and overall survival (OS) after allo-SCT were 37.9 % and 42.6 %, respectively. There was only a single event beyond 12 months in the Kaplan-Meier curve of EFS. Non-relapse mortality (NRM) was reported in five patients (16.7 %). In the multivariate analysis, the risk factors for EFS were prior chemotherapy lines ≥ 5 (p = 0.010) and chemo-resistant disease (p = 0.007). The risk factors for OS were chemo-resistant disease (p = 0.024) and Eastern Cooperative Oncology Group performance status 2 (p = 0.005). NRM was associated with prior chemotherapy lines ≥ 5 (p = 0.042), chemo-resistant disease (p = 0.009), and poor performance status (p < 0.001). In conclusion, allo-SCT showed considerable efficacy in patients with DLBCL whose disease was relapsed or progressed after auto-SCT. Our data suggest that allo-SCT could be a viable treatment option if patients have fewer lines of prior chemotherapy, chemo-sensitive disease, and/or good PS.

그 밖의 정보
출판 형태
Journal Article, Multicenter Study, Research Support, Non-U.S. Gov't
저널
Annals of hematology · eISSN 1432-0584
전자 출판
2014-03-16
MeSH
Adult · Allografts · Antineoplastic Combined Chemotherapy Protocols / therapeutic use · Combined Modality Therapy · Disease Progression · Disease-Free Survival · Female · Graft vs Host Disease / epidemiology · Hematopoietic Stem Cell Transplantation* / adverse effects · Humans · Japan · Kaplan-Meier Estimate · Lymphoma, Large B-Cell, Diffuse / drug therapy / mortality · Male · Middle Aged · Postoperative Complications / mortality · Recurrence · Reoperation · Republic of Korea · Retrospective Studies · Risk Factors · Salvage Therapy* · Survival Analysis · Transplantation, Autologous · Young Adult