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Stem Cell Transplant for Acute Myeloid Leukemia

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Basics of Hematopoietic Stem Cell Transplant
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Abstract

Acute myeloid leukemia (AML) is a hematological malignancy, which results from the clonal expansion of myeloblasts in the peripheral blood, bone marrow, or other tissues. AML is the most common leukemia among the adult population and accounts for about 80% of all cases. Based on genetic analysis AML has been divided into good risk, intermediate risk, and high risk. AML is the most common indication for allogeneic stem cell transplant (allo SCT). It is indicated in intermediate and poor-risk AML in first remission, but not in good-risk AML. The most popular preparative regimen for AML is busulfan plus cyclophosphamide (BuCy), though BuCy and Cy plus total body irradiation (CyTBI) lead to similar long-term outcomes in patients with AML. Myeloablative-conditioning (MAC) should be preferred for young fit adults with AML till the age of 55 years and reduced intensity conditioning (RIC) should be preferred in older patients or those with significant comorbidities. Patients with AML in the second remission lacking matched sibling donors are candidates for either matched unrelated or haploidentical donor transplants.

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Sharma, S.K. (2023). Stem Cell Transplant for Acute Myeloid Leukemia. In: Basics of Hematopoietic Stem Cell Transplant. Springer, Singapore. https://doi.org/10.1007/978-981-19-5802-1_30

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