与年轻患者相比,老年患者的自体干细胞移植是安全的,并且与更高的再移植频率无关。单中心体验

M. Farina
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引用次数: 0

摘要

231例ASCT患者中有72例(31%)为65岁。诊断为MM 52例(72%),NHL 20例(28%)。中位年龄为69岁(65-76岁)。患者的合并症或重大实验室异常汇总于(表1)。根据临床判断,10名患者(14%)降低了调理方案的剂量强度。在12%(6/52)的MM患者中,melphalan剂量减少到140 mg/m2(4)或100 mg/m2(2)。在4例NHL患者中,FEAM剂量减少了75%(20%)[1,2]。患者在平均10天(6-13天)后血液学恢复,13天(929天)后出院。感染并发症是再障期最常见的不良事件[3-5]。
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Autologous Stem Cell Transplantation in Elderly Patients is Safe and is not associated with a Higher Frequency of Readmission Compared to Younger Patients. A Single Center Experience
Seventy-two of 231 (31%) ASCT pts were > 65 yrs. Diagnosis was MM in 52 (72%) and NHL in 20 pts (28%) respectively. Median age was 69 (range 65-76). Patients’ comorbidities or significant laboratory abnormalities are summarized in (Table 1). Based on clinical judgement, conditioning regimen dose intensity was reduced in 10 pts (14%). In 12% (6/52) of MM pts melphalan dose was reduced to 140 mg/m2 (4) or 100 mg/m2 (2). FEAM dose was reduced at 75% in 4 NHL pts (20%) [1,2]. Pts achieved hematology recovery after a median of 10 days (6-13) and were discharged after 13 days (929). Infectious complications were the most frequent adverse event during the aplastic phase [3-5].
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