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异基因造血干细胞移植治疗多发性骨髓瘤.pptx

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异基因造血干细胞移植治疗多发性骨髓瘤.pptx

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异基因造血干细胞移植治疗多发性骨髓瘤.pptx

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文档介绍:TheallogeneictransplanthastheadvantageovertheautologoustransplantThegraftdoesnotcontaintumorcellsandthepotentialforagraftversusmyeloma(GvM)effectBonemarrowtransplantationinthreepatientswithmultiplemyelomaGahrtonG,RingdénO,LönnqvistB,LindquistR,;219(5):523--identicalsiblingdonorsOneofthepatients,withIgAkappamyeloma,refractorytoalkeran-herapy,iswellandstillwithoutsignofdisease26monthsposttransplantationAsecondpatientwithBence-Joneskappamyelomaiswell,andskeletalpainandBence--;219(5):523-7ConclusionBonemarrowtransplantationmaybeindicatedinaselectivegroupofpatientswithmultiplemyelomaActaMedScand1986;219(5):523-icmatchedsiblingdonortransplantsforMM344wereperformedduringtheperiod1983-93(allwithBM)[group1]356during1994-98(223withBMgroup2and133withPBgroup3)themedianageattransplantationofpatientsingroup1was43years(range21-62)Ingroup2,44years(range18_57)andingroup3,46years(range25_60)TBI+monlyusedingroup1(37%)and2(39%)thaningroup3(27%)Melphalancontainingregimestendedtobemorelyusedingroup3MelphalanorBusulphan+CYrarelyConditiongregimeEngraftment