Philadelphia chromosome-positive acute lymphoblastic leukemia rescued with a second allogeneic stem cell transplantation from a haploidentical mother after relapse following cord blood transplantation

Int J Hematol. 2004 Dec;80(5):453-7. doi: 10.1532/ijh97.04072.

Abstract

A 32-year-old female patient who had Philadelphia chromosome-positive acute lymphoblastic leukemia underwent cord blood transplantation while in her second remission. However, she had a hematological and central nervous system relapse 3 months later. After reinduction with imatinib mesylate, unmanipulated peripheral blood stem cell transplantation was performed from the patient's haploidentical mother with a reduced-intensity conditioning regimen. Rabbit antithymocyte globulin, tacrolimus, and methylprednisolone were used for prophylaxis of graft-versus-host disease. Engraftment of neutrophils was observed on day 12, and complete donor chimerism was obtained by day 24. The posttransplantation course was uneventful. Although the patient had a relapse 10 months later, this case demonstrated that transplantation from a haploidentical donor is clearly a feasible alternative for patients who desperately need rescue transplantation.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Animals
  • Cord Blood Stem Cell Transplantation*
  • Female
  • Haplotypes
  • Humans
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive / diagnostic imaging
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive / pathology
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive / therapy*
  • Mothers
  • Peripheral Blood Stem Cell Transplantation*
  • Rabbits
  • Radiography
  • Remission Induction
  • Transplantation Chimera
  • Transplantation Conditioning / methods
  • Transplantation, Homologous
  • Treatment Outcome