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Autologous stem cell transplantation for patients with active Hodgkin's lymphoma: long-term outcome of 61 patients from a single institution.

Autologous stem cell transplantation for patients with active Hodgkin's lymphoma: long-term outcome of 61 patients from a single institution. Research Abstract Details 

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  • Autologous stem cell transplantation for patients with active Hodgkin's lymphoma: long-term outcome of 61 patients from a single institution. Abstract Text:

    carmen Carmen ,olga salameroOlga Salamero,leonor arenillasLeonor Arenillas,juan duqueJuan Duque,armando Armando ,montserrat roviraMontserrat Rovira,alvaro Alvaro ,francesc Francesc ,enric carrerasEnric Carreras,emili montserratEmili Montserrat,carmen Carmen ,olga salameroOlga Salamero,leonor arenillasLeonor Arenillas,juan duqueJuan Duque,armando Armando ,montserrat roviraMontserrat Rovira,alvaro Alvaro ,francesc Francesc ,enric carrerasEnric Carreras,emili montserratEmili Montserrat,carmen Carmen ,olga salameroOlga Salamero,leonor arenillasLeonor Arenillas,juan duqueJuan Duque,armando Armando ,montserrat roviraMontserrat Rovira,alvaro Alvaro ,francesc Francesc ,enric carrerasEnric Carreras,emili montserratEmili Montserrat,

    Sixty-one patients with refractory or relapsed Hodgkin's lymphoma (HL) underwent high-dose chemotherapy and autologous stem cell transplantation (ASCT). All patients had active HL at the time of ASCT: 13 patients had partial remission, 14 refractory disease, 18 sensitive relapse, 4 resistant relapse, and 12 nontreated relapse. Overall transplant-related mortality (TRM) was 16.4% at 1 year. Twenty-eight patients (46%) achieved complete remission (CR). Actuarial 5-year overall survival (OS) and progression-free survival (PFS) were 51% and 47%, respectively. Patients with positive gallium-67 scintigraphy at 3 - 6 months after transplantation had a worse PFS at 5 years (28%) than those with negative 67Ga scan (80%) (p = 0.016), whereas no statistical differences were observed between patients with residual mass and those in CR according to computed tomography scan. In multivariate analysis, bulky disease at diagnosis, bone marrow stem cells, and stage IV at transplant were the only adverse prognostic factors significantly influencing OS. Bulky disease at diagnosis and stage IV at transplant adversely influenced PFS. Although long-term outcome of patients with active HL at the time of ASCT is poor due to a high TRM and a low CR after transplantation, a subgroup of patients with no adverse prognostic factors at ASCT gain benefit from this treatment.

    Autologous stem cell transplantation for patients with active Hodgkin's lymphoma: long-term outcome of 61 patients from a single institution. Publishing Authors By Initials

    c C ,o salameroO Salamero,l arenillasL Arenillas,j duqueJ Duque,a A ,m roviraM Rovira,a A ,f F ,e carrerasE Carreras,e montserratE Montserrat,c C ,o salameroO Salamero,l arenillasL Arenillas,j duqueJ Duque,a A ,m roviraM Rovira,a A ,f F ,e carrerasE Carreras,e montserratE Montserrat,c C ,o salameroO Salamero,l arenillasL Arenillas,j duqueJ Duque,a A ,m roviraM Rovira,a A ,f F ,e carrerasE Carreras,e montserratE Montserrat,

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    Autologous stem cell transplantation for patients with active Hodgkin's lymphoma: long-term outcome of 61 patients from a single institution. Journal Published:

    PUBLICATION TYPE: Research Support, Non-U.S. Gov

    Journal: Leukemia & lymphoma

    VOLUME: 48

    Page Numbers: 1968-75

    Journal Abbreviation: Leuk. Lymphoma

    ISSN: 1042-8194

    DAY: 5

    MONTH: Oct

    YEAR: 2007

    Autologous stem cell transplantation for patients with active Hodgkin's lymphoma: long-term outcome of 61 patients from a single institution. Information

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    LANGUAGE: eng

    NlmUniqueID: 9007422

    Autologous stem cell transplantation for patients with active Hodgkin's lymphoma: long-term outcome of 61 patients from a single institution. Keywords Mesh Terms:

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    Grant and Affiliation Information for Autologous stem cell transplantation for patients with active Hodgkin's lymphoma: long-term outcome of 61 patients from a single institution.

    AFFILIATION: Department of Hematology, Institute of Hematology and Oncology, Institut d'Investigacions Biomèdiques August Pi I Sunyer IDIBAPS, Hospital Clínic, University of Barcelona, Barcelona, Spain. cmarti@clinic.ub.es

    Country: England

    England Research PublicationEngland Research Publication

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    MEDLINETA: Leuk Lymphoma

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