Title Allogeneic hematopoietic cell transplantation for adult patients with treatment-related acute myeloid leukemia during first remission: Comparable to de novo acute myeloid leukemia
Authors Tang, Fei-Fei
Huang, Xiao-Jun
Zhang, Xiao-Hui
Chen, Huan
Chen, Yu-Hong
Han, Wei
Chen, Yao
Wang, Feng-Rong
Wang, Yu
Wang, Jing-Zhi
Yan, Chen-Hua
Sun, Yu-Qian
Mo, Xiao-Dong
Liu, Kai-Yan
Xu, Lan-Ping
Affiliation Peking Univ, Inst Hematol, Peoples Hosp, 11 Xizhimen South St, Beijing 100044, Peoples R China.
Peking Tsinghua Ctr Life Sci, Beijing, Peoples R China.
Beijing Key Lab Hematopoiet Stem Cell Transplanta, Beijing, Peoples R China.
Keywords Acute myeloid leukemia
Allogeneic hematopoietic cell transplantation
Therapy-related
MYELODYSPLASTIC SYNDROME
SECONDARY
THERAPY
AML
CHEMOTHERAPY
GRAFT
Issue Date 2016
Publisher LEUKEMIA RESEARCH
Citation LEUKEMIA RESEARCH.2016,47,8-15.
Abstract Therapy-related acute myeloid leukemia (T-AML) is associated with poor prognosis after conventional therapy. Allogeneic hematopoietic cell transplantation (allo-HCT) has been proposed as a treatment for T-AML; however, data comparing outcomes of transplants for patients with de novo AML and T-AML are limited. Sixteen adult patients with T-AML during first complete remission after malignant disease received allo-HCT at the Peking University Institute of Hematology between January 1, 2006 and December 31, 2014. Eighty patients with de novo AML were selected using the case-pair method. The 3-year overall survival and leukemia-free survival for T-AML versus de novo AML patients were 66% vs. 79% (P=0.14) and 64% vs. 77% (P=0.13), respectively. The 3-year cumulative non-relapse mortality rates for T-AML versus de novo AML patients were 13% vs. 9% (P=0.47), respectively; the relapse rates were 20% vs. 13% (P=0.25), respectively. Our results suggest that the prognosis of T-AML is comparable to that of de novo AML after transplantation. Although T-AML shows poorer prognosis than de novo AML after conventional therapies, allo-HCT can markedly improve the prognosis of T-AML. (C) 2016. Published by Elsevier Ltd.
URI http://hdl.handle.net/20.500.11897/433549
ISSN 0145-2126
DOI 10.1016/j.leukres.2016.05.005
Indexed SCI(E)
PubMed
Appears in Collections: 医学部待认领

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