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Chinese Journal of Oncology Prevention and Treatment ›› 2011, Vol. 3 ›› Issue (2): 130-.doi: 10.3969/j.issn.1674-5671.2011.02.09

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BU Qing, GAO Yan, CAI Qing-Qing, LIN Xu-Bin, WANG Xiao-Xiao, SUN Xiao-Fei, ZHEN Zi-Jun, HUANG Hui-Qiang   

  • Online:2011-08-03 Published:2011-08-03

Abstract: 【Abstract】Objective To evaluate the clinical efficacy and safety of autologous hematopoietic stem cell transplantation (AHSCT) on treating patients with relapsed or refractory T-lymphoblastic lymphoma (TLBL). Methods 16 patients with TLBL were long-term followed-up and analyzed retrospectively. The major conditioning regimens were BEAM and BEAC. Results 15 patients were evaluable for efficacy and 1 patient lost in follow-up. The median progression-free survival (PFS) was 34.5 months. The expecting median overall survival time (OS) was 49 months. The rates of 1-,3-and 5-year OS were 60%,53% and 32% respectively. Among the newly diagnosed patients who were effectively first -line treated,the median OS was 108 months,the rates of 5-year OS and PFS were 62% and 63% respectively. Among the patients who had response after first-line treatment,the median OS was 22.8 months,the rates of 5-year OS and PFS were 33% and 22% respectively. Median OS for the heavily-treated or refractory patients was 21 months,the rates of 5-year OS and PFS were 20% and 29% respectivelyConclusionsAHSCT is effective and safe for TLBL after conventional chemotherapy. It can improve long-term survival and extend PFS on the initial treated patients,though the recurrent rate remains relatively high. Large-scale clinical trial is urgently warranted.

Key words: 【Key words】Lymphoma, Autologous hematopoietic stem cell transplantation, Lymphoblastic lymphoma