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International Journal of Hematology

, Volume 98, Issue 4, pp 463–471 | Cite as

Clinical outcomes of allogeneic stem cell transplantation for relapsed or refractory follicular lymphoma: a retrospective analysis by the Fukuoka Blood and Marrow Transplantation Group

  • Yoshikiyo Ito
  • Toshihiro MiyamotoEmail author
  • Tomohiko Kamimura
  • Ken Takase
  • Hideho Henzan
  • Yasuo Sugio
  • Koji Kato
  • Yuju Ohno
  • Tetsuya Eto
  • Takanori Teshima
  • Koichi Akashi
Original Article

Abstract

Allogeneic hematopoietic stem cell transplantation (allo-SCT) is considered the only curative treatment for relapsed or refractory follicular lymphoma (FL), but it has a high treatment-related mortality rate. Only a few reports, however, have described the efficacy of allo-SCT for FL in the Japanese population. We retrospectively analyzed the outcome of allo-SCT in 30 patients with FL. Seventeen (56.7 %) patients were chemorefractory, whereas 13 (43.3 %) were chemosensitive. An estimated 2-year overall survival rate (OS) and relapse rate of all patients was 46.7 and 20.0 %, respectively. There were no significant differences in the estimated 2-year OS rate between patients who received myeloablative conditioning and those who received reduced-intensity conditioning (P = 0.98), and among the recipients of related bone marrow (BM)/peripheral blood stem cell, unrelated BM and umbilical cord blood (P = 0.20). In patients who were either chemosensitive or chemorefractory at allo-SCT, the 2-year OS rate was 69.2 and 29.4 % (P = 0.06). Patients with mild-to-moderate acute GVHD had better 2-year PFS rate compared with patients who had severe acute GVHD (P = 0.01), but not better PFS compared with patients who had no acute GVHD (P = 0.12). Our results suggest that the graft-versus-lymphoma effects of allo-SCT may provide survival benefits even in patients with chemorefractory FL.

Keywords

Allogeneic stem cell transplantation Follicular lymphoma 

Notes

Acknowledgments

We thank the nursing staff who cared for the patients at the Fukuoka BMT group. This work was supported, in part, by a Grant-in-Aid from the Ministry of Education, Culture, Sports, Science, and Technology in Japan (23390254 & 24659462 to T.M.).

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Copyright information

© The Japanese Society of Hematology 2013

Authors and Affiliations

  • Yoshikiyo Ito
    • 1
  • Toshihiro Miyamoto
    • 2
    • 7
    Email author
  • Tomohiko Kamimura
    • 1
  • Ken Takase
    • 3
    • 5
  • Hideho Henzan
    • 3
  • Yasuo Sugio
    • 4
  • Koji Kato
    • 2
  • Yuju Ohno
    • 4
  • Tetsuya Eto
    • 3
  • Takanori Teshima
    • 6
  • Koichi Akashi
    • 2
  1. 1.Department of HematologyHarasanshin HospitalFukuokaJapan
  2. 2.Department of Medicine and Biosystemic ScienceGraduate School of Medical Science, Kyushu UniversityFukuokaJapan
  3. 3.Department of HematologyHamanomachi HospitalFukuokaJapan
  4. 4.Department of Internal MedicineKitakyushu Municipal Medical CenterKitakyushuJapan
  5. 5.Department of HematologyNational Kyushu Medical CenterFukuokaJapan
  6. 6.Department of Hematology and OncologyHokkaido University Graduate School of MedicineSapporoJapan
  7. 7.Medicine and Biosystemic ScienceKyushu University Graduate School of Medical SciencesFukuokaJapan

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