Peripheral blood stem cell collection and autografting in high risk lymphomas

Bone Marrow Transplant. 1992 Nov;10(5):409-13.

Abstract

Peripheral blood stem cells (PBSC) were collected from 29 patients with high risk Hodgkin's disease (n = 3) or non-Hodgkin's lymphoma (n = 26) in partial remission or first sensitive relapse. Patients had either bone marrow involvement or hypoplastic bone marrow. The conditioning regimen prior PBSC collection included amsacrine and cytosine arabinoside (Ara-C) or Ara-C alone. PBSC collection was performed after leukocyte counts reached 1 x 10(9)/1. A good yield was obtained in 23 patients, whereas sufficient numbers of CFU-GM were not obtained in six cases. Twenty-one patients have been transplanted. All patients except one achieved bone marrow engraftment. Eight patients are in complete remission (mean duration 15 months). The estimated 2 years survival rate is 46.4% (CI 25-68%). This procedure would seems a good alternative in poor prognosis lymphomas.

MeSH terms

  • Adult
  • Amsacrine / administration & dosage
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Blood Component Removal
  • Blood Transfusion, Autologous*
  • Cytarabine / administration & dosage
  • Female
  • Hodgkin Disease / drug therapy
  • Hodgkin Disease / mortality
  • Hodgkin Disease / therapy*
  • Humans
  • Lymphoma, Non-Hodgkin / drug therapy
  • Lymphoma, Non-Hodgkin / mortality
  • Lymphoma, Non-Hodgkin / therapy*
  • Male
  • Middle Aged
  • Neutropenia / etiology
  • Postoperative Complications
  • Stem Cell Transplantation*
  • Survival Rate

Substances

  • Amsacrine
  • Cytarabine