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Hematopoietic stem cell transplantation in advanced cutaneous T‐cell lymphoma
Authors:Hiroshi Saruta  Chika Ohata  Ikko Muto  Taichi Imamura  Eijiro Oku  Koichi Ohshima  Koji Nagafuji  Takekuni Nakama
Affiliation:1. Department of Dermatology, Kurume University School of Medicine, Kurume, Japan;2. Division of Hematology and Oncology, Department of Medicine, Kitakyushu General Hospital, Kitakyushu, Japan;3. Department of Pathology, Kurume University School of Medicine, Kurume, Japan;4. Division of Hematology and Oncology, Department of Medicine, Kurume University School of Medicine, Kurume, Japan
Abstract:We retrospectively reviewed data pertaining to five patients with cutaneous T‐cell lymphoma (CTCL) who had received hematopoietic stem cell transplantation (HSCT) between 2004 and 2015 at Kurume University Hospital, along with their clinical data until March 2016. For patients with advanced CTCL eligible for HSCT, autologous HSCT was performed when they responded well to chemotherapy, and allogeneic HSCT was selected for patients with advanced mycosis fungoides (MF)/Sézary syndrome (SS) and CTCL other than MF/SS with poor chemosensitivity. Two patients (primary cutaneous anaplastic large cell lymphoma and primary cutaneous CD8+ aggressive epidermotropic cytotoxic T‐cell lymphoma) who responded well to chemotherapy received autologous HSCT: one patient was alive in partial remission and the other died due to therapy‐related acute myeloid leukemia without disease relapse. In the remaining three patients with MF or SS, allogeneic HSCT was performed. Although one patient with MF died due to disease progression, the remaining two patients were alive in complete remission. Although there were two deaths in this study, the outcomes were considered satisfactory.
Keywords:allogeneic  autologous  cutaneous T‐cell lymphoma  donor lymphocyte infusions  hematopoietic stem cell transplantation
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