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Effects of extensive splenomegaly in patients with myelofibrosis undergoing a reduced intensity allogeneic stem cell transplantation
被引:43
|作者:
Ciurea, Stefan O.
[1
]
Sadegi, Barry
[2
]
Wilbur, Andrew
[2
]
Alagiozian-Angelova, Victoria
[3
]
Gaitonde, Sujata
[3
]
Dobogai, Lisa C.
[1
]
Akard, Luke P.
[4
]
Hoffman, Ronald
[5
]
Rondelli, Damiano
[1
]
机构:
[1] Univ Illinois, Hematol Oncol Sect, Coll Med, Div Hematol,Dept Med, Chicago, IL 60612 USA
[2] Univ Illinois, Coll Med, Dept Radiol, Chicago, IL 60612 USA
[3] Univ Illinois, Coll Med, Div Hematopathol, Dept Pathol, Chicago, IL 60612 USA
[4] Indiana Blood & Marrow Transplantat Program, Indianapolis, IN USA
[5] Mt Sinai Sch Med, Hematol Oncol Sect, New York, NY USA
关键词:
myeloproliferative disorder;
splenomegaly;
reduced-intensity conditioning stem cell transplantation;
myelofibrosis;
D O I:
10.1111/j.1365-2141.2008.07010.x
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Changes in spleen size postallogeneic haematopoietic stem cell transplantation (HSCT) in patients with primary myelofibrosis have been poorly characterized. We analysed 10 patients with myelofibrosis and splenomegaly following a reduced-intensity allogeneic HSCT. All patients fully engrafted donor cells including five patients with extensive splenomegaly. Extensive splenomegaly was associated with a prolonged time to neutrophil and platelet recovery. In all 10 patients, a progressive reduction of splenomegaly was documented within 12 months post-transplant and paralleled the reduction of marrow fibrosis. These findings suggest that myelofibrosis patients with extensive splenomegaly may proceed with allogeneic HSCT without prior splenectomy.
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页码:80 / 83
页数:4
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