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- Title
Outcome of patients with HTLV-1-associated adult T-cell leukemia/lymphoma after SCT: a retrospective study by the EBMT LWP.
- Authors
Bazarbachi, A; Cwynarski, K; Boumendil, A; Finel, H; Fields, P; Raj, K; Nagler, A; Mohty, M; Sureda, A; Dreger, P; Hermine, O
- Abstract
Adult T-cell leukemia/lymphoma (ATL) carries a dismal prognosis. Experience with allo-SCT for ATL appears encouraging but is limited to Japanese series. This retrospective analysis of the EBMT registry revealed 21 HTLV-I seropositive ATL including 7 acute and 12 lymphoma subtypes. Four patients received auto-SCT and rapidly died from ATL. Out of 17 allo-SCT (4 myeloablative, 13 reduced intensity), 6 are still alive (4 were in CR1 at SCT). Eleven patients died within 2 years, eight from relapse/progression and three from transplant toxicity. Six of seven informative patients who lived >12 months had chronic GVHD. Overall these results indicate that allo-SCT but not auto-SCT may salvage a subset of ATL patients, supporting the existence of graft vs ATL effect also in non-Japanese patients.
- Subjects
ADULT T-cell leukemia; HTLV; RETROVIRUSES; HTLV diseases; DISEASE relapse; DISEASE progression
- Publication
Bone Marrow Transplantation, 2014, Vol 49, Issue 10, p1266
- ISSN
0268-3369
- Publication type
Article
- DOI
10.1038/bmt.2014.143