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العنوان
Allogenic Versus Autologous Stem Cell Transplantation in Adult Acute Myeloid Leukemia Patients with Normal Cytogenetics and FLT3 Negative State /
المؤلف
Mohmed, Hossam.
هيئة الاعداد
باحث / حسام الدين احمد
مشرف / حسام محمد كامل
مشرف / محمعبد المعطى
مشرف / ياسر حسن
الموضوع
Leukemia, Myeloid, Acute. Hematopoietic Stem Cell Transplantation.
تاريخ النشر
2015.
عدد الصفحات
236 p. ;
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
علم الأورام
تاريخ الإجازة
1/1/2015
مكان الإجازة
جامعة القاهرة - معهد الأورام القومى - طب الاورام
الفهرس
Only 14 pages are availabe for public view

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from 236

Abstract

Abstract Introduction: Acute myeloid leukemia (AML) is a heterogeneous hematologic malignancy characterized by clonal expansion of myeloid blasts in the peripheral blood (PB), bone marrow (BM) and/or other tissues. Stem cell transplantation (SCT) represents the only curative therapy for intermediate- and high-risk AML. Aim of the Work: To compare allogenic with autologous peripheral blood SCT(PBSCT) in adult normal karyotype (NK)-AML patients with FLT3 negative state regarding toxicities of transplant procedure, transplant-related mortality (TRM), diseases-free survival (DFS), and overall survival (OS). Patients and Methods: This study included patients with AML in CR1 who underwent PBSCT by CIRO National Cancer Institute (NCI) bone marrow transplantation (BMT) team at BMT units of Nasser Institute & El-Sheikh Zayed Hospitals with the following eligibility criteria: age 16-50ys, PS < 2, with normal cytogenetics and FLT3 negative status in first complete remission (CR1). Results: Forty-three patients with the previously mentioned eligibility criteria were included & followed up in this study during the period from January 2011 to December 2014. For the whole group, the median age was 29 years. Thirty-four patients underwent allogeneic SCT while the remaining 9 patients underwent autologous SCT. After a median follow up of 21.5 months (0.3– 46.5), the cumulative 2-year OS and DFS in the allogeneic group were 73.5% and 70.6% respectively, compared to 74.1% and 64.8% respectively in the autologous group with no statistically significant difference in OS and DFS between the two transplant groups (p = 0.690 and 0.768 respectively). Conclusion: The above-mentioned data in our study showed non-inferiority of autologous compared to allogenic SCT in this category of patients. To confirm these results, larger studies are needed, with inclusion of a third arm (consolidation with chemotherapy), and new emerging molecular markers for better choice of the type of consolidation treatment.