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Successful unrelated cord blood transplantation following reduced-intensity conditioning for refractory acute myeloid leukemia.

AbstractPatients with relapsed acute myeloid leukemia following autograft have a poor prognosis. The possibility of allograft is frequently time-limited, as the disease reappears before a stem cell donor can be found in the worldwide registries. Cord blood transplantation is a new therapeutic approach, since cord blood units are rapidly available. The authors show how a relapsed chemotherapy-refractory patient was successful transplanted with a mismatched cord blood unit after reduced-intensity conditioning. Twenty-three months after transplantation, the child is in continuous complete remission and has full donor chimerism and no signs of chronic graft-versus-host disease.
AuthorsMassimo Berger, Elena Vassallo, Francesca Nesi, Claudio Venturi, Enrico Madon, Franca Fagioli (Affiliation: Department of Paediatrics, Regina Margherita Children's Hospital, University of Turin, Italy.)
JournalJournal of pediatric hematology/oncology : official journal of the American Society of Pediatric Hematology/Oncology (J Pediatr Hematol Oncol) Vol. 26 Issue 2 Pg. 98-100 (Feb 2004) ISSN: 1077-4114 United States
PMID14767195 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)
Topics
  • Antineoplastic Combined Chemotherapy Protocols (therapeutic use)
  • Child, Preschool
  • Cord Blood Stem Cell Transplantation
  • Graft vs Host Disease (prevention & control)
  • Graft vs Leukemia Effect (immunology)
  • Humans
  • Leukemia, Myelomonocytic, Acute (therapy)
  • Male
  • Neoplasm Recurrence, Local (therapy)
  • Remission Induction
  • Transplantation Conditioning
  • Treatment Outcome