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Unteregger, M; Valentin, A; Zinke-Cerwenka, W; Troppan, K; Deutsch, A; Cerroni, L; Linkesch, W; Neumeister, P.
Unrelated SCT induces long-term remission in patients with blastic plasmacytoid dendritic cell neoplasm.
Bone Marrow Transplant. 2013; 48(6):799-802
Doi: 10.1038/bmt.2012.242
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PubMed
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- Führende Autor*innen der Med Uni Graz
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Neumeister Peter
- Co-Autor*innen der Med Uni Graz
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Cerroni Lorenzo
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Deutsch Alexander
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Linkesch Werner
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Prochazka Katharina
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- Abstract:
- Blastic plasmacytoid DC neoplasm (BPDCN) is a rare haematopoietic malignancy with an aggressive behaviour. We evaluated five patients allografted as consolidative treatment with an unrelated donor in first or subsequent remission. Four patients received a reduced intensity-conditioning regimen because of age or co-morbidities. As the stem cell sources, two umbilical cord blood-(UCB), two PBSC- and one BM graft were used. No GVHD was observed in the patients who received a UCB graft. However, both developed a post-transplant-associated lymphoproliferative disease. So far, only one patient has experienced relapse and was consecutively treated by escalated donor lymphocyte infusions (DLI). A potent graft-versus-leukaemia (GVL) effect was induced leading to a 17-month-long CR. Four patients are still in ongoing CR with median disease-free and overall survivals of 17 and 21 months. Thus, allogeneic SCT in BPDCN offers a potential curative option for patients with a compatible donor. UCB is an attractive alternative as a stem cell source. For relapsing patients, DLI can exert a powerful GVL effect.
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Adult -
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Disease-Free Survival -
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Female -
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Follow-Up Studies -
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Graft vs Leukemia Effect -
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Humans -
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Lymphoproliferative Disorders - etiology
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Male -
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Middle Aged -
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Neoplasms, Plasma Cell - mortality
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Stem Cell Transplantation -
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Survival Rate -
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Time Factors -
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Transplantation Conditioning -
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Unrelated Donors -
- Find related publications in this database (Keywords)
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blastic plasmacytoid DC neoplasm
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ASCT
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umbilical cord blood transplantation
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reduced intensity conditioning