Marrow transplantation for patients in the chronic phase of chronic granulocytic leukaemia

Lancet. 1982 Sep 18;2(8299):623-5. doi: 10.1016/s0140-6736(82)92736-2.

Abstract

In 1979 two patients with Philadelphia (Ph1)-chromosome-positive chronic granulocytic leukaemia (CGL) were treated with chemoradiotherapy and transplantation of bone marrow from their respective identical twins. Subsequently twelve patients with Ph1-positive CGL in chronic phase were treated with chemoradiotherapy followed by transplantation of bone marrow from their HLA-identical sibs. Two of the fourteen patients have died of complications of the transplant procedure; twelve patients are alive and well. All the survivors have normal or nearly normal blood counts; there is no evidence of recurrent leukaemia or Ph1-positive cells in any patient after follow-up periods ranging from 97 to 1112 days. Bone-marrow transplantation should be considered in the management of any young patient with CGL who has a suitable marrow donor.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Antineoplastic Agents / administration & dosage
  • Bone Marrow Transplantation*
  • Child
  • Chromosomes, Human, 21-22 and Y
  • Drug Therapy, Combination
  • Female
  • HLA Antigens / genetics
  • Humans
  • Leukemia, Myeloid / genetics
  • Leukemia, Myeloid / mortality
  • Leukemia, Myeloid / therapy*
  • Male
  • Postoperative Complications / mortality
  • Preoperative Care
  • Random Allocation
  • Transplantation, Isogeneic

Substances

  • Antineoplastic Agents
  • HLA Antigens