Successful treatment with third stem cell transplant from an allogeneic donor for a patient with relapsed diffuse large B-cell lymphoma

Exp Clin Transplant. 2013 Apr;11(2):199-202. doi: 10.6002/ect.2012.0105. Epub 2013 Feb 20.

Abstract

High-dose chemotherapy with autologous stem cell transplant is commonly used for diffuse large B-cell lymphoma that recurs after successful salvage chemotherapy. However, in patients in whom the disease recurs again, the prognosis is poor. A 40-year-old woman who underwent allogeneic stem cell transplant 4 years after autologous stem cell transplant developed recurrent diffuse large B-cell lymphoma 3 years after the initial autologous stem cell transplant. She then underwent reduced-intensity hematopoietic stem cell transplant from a human leukocyte antigen-matched, unrelated donor who was not the previous autologous stem cell transplant donor. She achieved a long survival (328 days after the reduced-intensity hematopoietic stem cell transplant and 1844 days after the first allogeneic transplant). A second allogenic transplant may provide survival benefits in a proportion of patients with malignant lymphoma recurring after allogeneic transplant, although careful consideration is required because of the high risk of treatment-related mortality with second allogenic transplant.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Chronic Disease
  • Female
  • Graft Rejection / immunology
  • Graft Rejection / therapy*
  • Graft Survival
  • Hematopoietic Stem Cell Transplantation / methods*
  • Histocompatibility Testing
  • Humans
  • Isoantigens / immunology*
  • Lymphoma, Large B-Cell, Diffuse / therapy*
  • Recurrence
  • Retreatment
  • Tissue Donors*
  • Transplantation, Homologous

Substances

  • Isoantigens