Skip to main content
Log in

Allogeneic marrow transplantation for chronic granulocytic leukemia

  • Original Articles
  • Published:
Blut Aims and scope Submit manuscript

Summary

Six patients with Philadelphia-chromosome (Ph' +)-positive chronic granulocytic leukemia were transplanted from their HLA-identical siblings after conditioning with cyclophosphamide and 1'000 rad total body irradiation. All received cyclosporin-A for prophylaxis of Graft-versus-Host disease. All patients showed prompt engraftment and all are cytogenetically and clinically in complete remission. Two patients had transient mild signs of Graft-versus-Host-disease and one patient had unilateral facial nerve paresis of unknown origin. All are ambulatory and well 6–18 months (median 10 months) after transplantation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Koeffler HP, Golde DW (1981) Chronic myelogenous leukemia. New concepts. N Engl J Med 304: 1201–1209, 1269–1274

    Google Scholar 

  2. Fefer A, Cheever MA, Thomas ED, Boyd Ch, Ramberg R, Glucksberg H, Buckner CD, Storb R (1979) Disappearance of Ph1-positive cells in four patients with chronic granulocytic leukemia after chemotherapy, irradiation and marrow transplantation from an identical twin. N Engl J Med 300: 333–337

    Google Scholar 

  3. Fefer A, Cheever MA, Greenberg BP, Greenberg PD, Appelbaum FR, Boyd CN, Buckner CD, Kaplan HG, Ramberg R, Sanders JE, Storb R, Thomas ED (1982) Treatment of chronic granulocytic leukemia with chemoradiotherapy and transplantation of marrow from identical twins. N Engl J Med 306: 63–68

    Google Scholar 

  4. Doney KC, Buckner CD, Sale GE, Ramberg R, Boyd Ch, Thomas ED (1978) Treatment of chronic granulocytic leukemia by chemotherapy, total body irradiation and allogeneic bone marrow transplantation. Exp Hematol 6: 738–747

    Google Scholar 

  5. Doney KC, Buckner CD, Thomas ED, Sanders J, Clift RA, Hansen JA, Sale GE, Singer J, Storb R (1981) Allogeneic bone marrow transplantation for chronic granulocytic leukemia. Exp Hematol 9: 966–971

    Google Scholar 

  6. Mc Glave PB, Miller WJ, Hurd DD, Arthur DC, Kim T (1981) Cytogenetic conversion following allogeneic bone marrow transplantation for advanced chronic myelogenous leukemia. Blood 58: 1050–1052

    Google Scholar 

  7. Thomas ED, Buckner CD, Clift RA, Fefer A, Johnson FL, Neiman PE, Sale GE, Sanders JE, Singer JW, Shulman H, Storb R, Weiden PL (1979) Marrow transplantation for acute nonlymphoblastic leukemia in first remission. N Engl J Med 301: 597–599

    Google Scholar 

  8. Powles RL, Clink HM, Spence D, Morgenstern G, Watson JG, Selby PJ, Woods M, Barrett A, Jameson B, Sloane J, Lawles SD, Kay HEM, Lawson D, McElwain TJ, Alexander P (1980) Cyclosporin-A to prevent Graft-versus-Host disease after allogeneic bone marrow transplantation. Lancet I: 327–329

    Google Scholar 

  9. Speck B, Gratwohl A, Nissen C, Osterwalder B, Müller M, Lüthy A, Signer E, Burri HP, Jeannet M (1981) Neue Entwicklung in der klinischen Knochenmarktransplantation bei Leukämie. Schweiz Med Wochenschr 111: 1975–1977

    Google Scholar 

  10. Wolf DJ, Silver RT, Coleman M (1978) Splenectomy in chronic myeloid leukemia. Ann Intern Med 89: 684–689

    Google Scholar 

  11. DiLeo PE, Müller Hj, Obrecht JP (1977) Loss of the Y chromosome from bone marrow cells of males with myeloproliferative disorders. Acta Haematol 57: 310–320

    Google Scholar 

  12. Müller Hj, Klinger HP (1976) Chromosome polymorphism in a human newborn population Part I. Chromosomes Today 5: 249–260

    Google Scholar 

  13. Cunningham I, Gee T, Dowling M, Chaganti R, Bailey R, Hopfan S, Bowden L, Turnbull A, Knapper W, Clarkson B (1979) Results of treatment of Ph1-chronic myelogenous leukemia with an intensive treatment regimen (L-5 protocol) Blood 53: 375–395

    Google Scholar 

  14. Buckner CD, Stewart P, Clift RA, Fefer A, Neimann PE, Singer J, Storb R, Thomas ED (1978) Treatment of blastic transformation of chronic granulocytic leukemia by chemotherapy, total body irradiation and infusion of cryopreserved autologous marrow. Exp Hematol 6: 96–109

    Google Scholar 

  15. Goldman JM (1978) Modern approaches to the management of chronic granulocytic leukemia. Semin Hematol 15: 420–430

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Supported by Grants of the Swiss Science Foundation 3.846.0.79, the Swiss Cancer League FOR.141.LR.79 (3) and the Swiss Public Health Service

Rights and permissions

Reprints and permissions

About this article

Cite this article

Speck, B., Gratwohl, A., Nissen, C. et al. Allogeneic marrow transplantation for chronic granulocytic leukemia. Blut 45, 237–242 (1982). https://doi.org/10.1007/BF00320190

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00320190

Key words

Navigation