Second allografts for relapsed hematologic malignancies: feasibility of using a different donor.

Publication/Presentation Date

2-1-2005

Abstract

A second allogeneic hematopoietic stem cell transplant (HSCT) for relapsed hematologic malignancies is an option in select patients after an initial allograft has failed. If the original donor is not available, a different donor may have to be considered. We report our experience of performing a second allogeneic HSCT using a different donor in patients with relapsed leukemia and lymphoma. In a 5-year period, six patients underwent a second allograft with myeloablative conditioning using a different donor. Four of these were retransplanted using a matched-unrelated donor. Four of the patients (67%) remain progression-free at a median follow-up of 32 months (range 3-72). There were no cases of transplant-related mortality. We conclude that a second allogeneic HSCT using a different donor is a viable option for selected patients relapsing after an allograft if the original donor is not available.

Volume

35

Issue

3

First Page

261

Last Page

264

ISSN

0268-3369

Disciplines

Medicine and Health Sciences

PubMedID

15558039

Department(s)

Department of Medicine, Hematology-Medical Oncology Division

Document Type

Article

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