Pretransplantation functional imaging predicts outcome following autologous stem cell transplantation for relapsed and refractory Hodgkin lymphoma

作者: Alison J. Moskowitz , Joachim Yahalom , Tarun Kewalramani , Jocelyn C. Maragulia , Jill M. Vanak

DOI: 10.1182/BLOOD-2010-05-282756

关键词: EtoposideRefractory Hodgkin LymphomaHematopoietic stem cell transplantationOncologyInternal medicineChemoradiotherapySalvage therapyTransplantation ConditioningSurgeryMedicineAutologous stem-cell transplantationTransplantation

摘要: To identify prognostic factors for patients transplanted relapsed or refractory Hodgkin lymphoma we carried out a combined analysis of followed prospectively on 3 consecutive protocols at Memorial Sloan-Kettering Cancer Center. One hundred fifty-three with chemosensitive disease after ICE (ifosfamide, carboplatin, and etoposide)–based salvage therapy (ST) proceeded to high-dose chemoradiotherapy by autologous stem cell transplantation (ASCT). Patients were evaluated computed tomography functional imaging (gallium fluorodeoxyglucose-positron emission tomography) prior ST again before ASCT. Functional status ASCT was the only factor significant event-free survival (EFS) overall multivariate clearly identifies poor risk (5-year EFS 31% 75% FI-positive negative respectively). Administration involved-field radiotherapy marginally (P = .055). Studies evaluating novel STs, conditioning regimens, post-ASCT maintenance, allogeneic are warranted who fail normalize pre-ASCT imaging.

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