Table 7.
Group D: patients treated with myeloablative protocols
Pat. | Age/sex | Cut. manif. | Extracut. manif. | High-dose chemotherapy±TBI | Source of stem cells | BM/peripheral | Time of Tx | Survival (months) |
---|---|---|---|---|---|---|---|---|
29 | 29/m | − | + | HD cyclophosphamide+TBI | Allogeneic | BM | First CR | 76+ in CR |
35 | 24/f | + | + | HD cyclophosphamide melphalan+TBI* | Allogeneic | BM | First CR | 115+ in CR* |
38 | 35/m | + | − | ND | Allogeneic | BM | Second CR | 39 died of sepsis in PD |
56 | 6/f | − | + | Aracytidine, melphalane+TBI* | Allogeneic | BM | First CR | 98+ in CR |
69 | 28/m | + | − | HD cyclophosphamide+ TBI* | Allogeneic | BM | First CR | 38 AWD relapse at 12 months |
80 | 29/m | + | − | ND | Allogeneic | BM | Third CR | 25 died in CR due to ARDS |
d | 23/m | + | + | Busulfan, thiotepa, fludarabine, ATG − TBI | Allogeneic | Peripheral | Second CR | 20 died in CR therapy-related |
23 | 25/m | + | + | HD cyclophosphamide, etoposide+TBI | Autologous | Peripheral | PR after First relapse | 71+ in CR* |
43 | 51/m | + | + | HD cyclophosphamide, carboplatin, etoposide, dexamethasone − TBI* | Autologous | Peripheral | First CR | 13 PD died of pneumonia |
d | 23/m | + | + | HD cyclophosphamide+TBI | Autologous | Peripheral | First CR | 20 relapse see above |
e | 32/m | + | + | HD cyclophosphamide+TBI | Autologus | Peripheral | First CR | 13 DOD |
n=10 | Med. 28.5 m:f 8:2 | 8/10 80% | 7/10 70% | allo:auto 7:4** | BM/peripheral 6:5** | Med. OS 31.5 CR at last follow-up 5/10 (50%) |
*Personal communication.
**Patient d underwent both autologous and allogeneic stem cell transplantion.
Cut. manif: cutaneous manifestations; extracut. manif.=extracutaneous manifestations; ARDS: acute respiratory distress syndrome; ATG: antithymocyte globulin; AWD: alive with disease; BM: bone marrow; DOD: died of disease; HD: high dose; TBI: total body irradiation; Tx: transplantation; CR: complete remission; PR: partial remission; PD: progressive disease; ND: not determined.