Stem cell transplantation for T-cell lymphomas in Taiwan

Ya Ting Hsu, Hui Jen Tsai, Jeffrey S. Chang, Sin Syue Li, Jih Luh Tang, Su Peng Yeh, Wen Li Hwang, Jin Hwang Liu, Tran Der Tan, Po Nan Wang, Hui Hua Hsiao, Tsai Yun Chen

研究成果: Article

2 引文 (Scopus)

摘要

T-cell lymphomas are generally aggressive malignancies with poor prognosis. There are no standard treatment guidelines for T-cell lymphomas, and the timing of stem cell transplantation (SCT) is not well known. In this study, we investigated the outcomes of Taiwanese patients with T-cell lymphomas after SCT. We retrospectively analyzed 131 patients with T-cell lymphomas receiving SCT (autologous: 90, allogeneic: 41) from 2009 to 2014. More autologous SCT recipients were ALCL or in complete remission, and more allogeneic recipients had advanced disease. 56 patients who were sensitive to chemotherapy underwent SCT as upfront setting. The 2-year PFS and OS rates were 67.0 and 64.5%, respectively. Regarding disease status before transplantation, patients with CR1 had the best outcomes. Among different subtypes, patients with natural killer/T-cell lymphomas showed the worst outcomes, with 2-year OS rate of 23.5%. The OS rates for the other three major subtypes were as follows: 72.9% for ALCL; 75.0% for AITL; and 51.4% for PTCL-NOS. For more rare subtypes, such as ATLL and SPTCL, data from our study show that SCT can be beneficial. We concluded that upfront autologous SCT is feasible and effective for patients with low PIT, and disease status at transplant is the strong predictor of outcome.

原文English
頁(從 - 到)993-1000
頁數8
期刊Bone Marrow Transplantation
53
發行號8
DOIs
出版狀態Published - 2018 八月 1

指紋

T-Cell Lymphoma
Stem Cell Transplantation
Taiwan
Adult T Cell Leukemia Lymphoma
Natural Killer T-Cells
Transplantation
Guidelines
Transplants
Drug Therapy
Neoplasms

All Science Journal Classification (ASJC) codes

  • Hematology
  • Transplantation

引用此文

Hsu, Ya Ting ; Tsai, Hui Jen ; Chang, Jeffrey S. ; Li, Sin Syue ; Tang, Jih Luh ; Yeh, Su Peng ; Hwang, Wen Li ; Liu, Jin Hwang ; Tan, Tran Der ; Wang, Po Nan ; Hsiao, Hui Hua ; Chen, Tsai Yun. / Stem cell transplantation for T-cell lymphomas in Taiwan. 於: Bone Marrow Transplantation. 2018 ; 卷 53, 編號 8. 頁 993-1000.
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title = "Stem cell transplantation for T-cell lymphomas in Taiwan",
abstract = "T-cell lymphomas are generally aggressive malignancies with poor prognosis. There are no standard treatment guidelines for T-cell lymphomas, and the timing of stem cell transplantation (SCT) is not well known. In this study, we investigated the outcomes of Taiwanese patients with T-cell lymphomas after SCT. We retrospectively analyzed 131 patients with T-cell lymphomas receiving SCT (autologous: 90, allogeneic: 41) from 2009 to 2014. More autologous SCT recipients were ALCL or in complete remission, and more allogeneic recipients had advanced disease. 56 patients who were sensitive to chemotherapy underwent SCT as upfront setting. The 2-year PFS and OS rates were 67.0 and 64.5{\%}, respectively. Regarding disease status before transplantation, patients with CR1 had the best outcomes. Among different subtypes, patients with natural killer/T-cell lymphomas showed the worst outcomes, with 2-year OS rate of 23.5{\%}. The OS rates for the other three major subtypes were as follows: 72.9{\%} for ALCL; 75.0{\%} for AITL; and 51.4{\%} for PTCL-NOS. For more rare subtypes, such as ATLL and SPTCL, data from our study show that SCT can be beneficial. We concluded that upfront autologous SCT is feasible and effective for patients with low PIT, and disease status at transplant is the strong predictor of outcome.",
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Hsu, YT, Tsai, HJ, Chang, JS, Li, SS, Tang, JL, Yeh, SP, Hwang, WL, Liu, JH, Tan, TD, Wang, PN, Hsiao, HH & Chen, TY 2018, 'Stem cell transplantation for T-cell lymphomas in Taiwan', Bone Marrow Transplantation, 卷 53, 編號 8, 頁 993-1000. https://doi.org/10.1038/s41409-018-0116-6

Stem cell transplantation for T-cell lymphomas in Taiwan. / Hsu, Ya Ting; Tsai, Hui Jen; Chang, Jeffrey S.; Li, Sin Syue; Tang, Jih Luh; Yeh, Su Peng; Hwang, Wen Li; Liu, Jin Hwang; Tan, Tran Der; Wang, Po Nan; Hsiao, Hui Hua; Chen, Tsai Yun.

於: Bone Marrow Transplantation, 卷 53, 編號 8, 01.08.2018, p. 993-1000.

研究成果: Article

TY - JOUR

T1 - Stem cell transplantation for T-cell lymphomas in Taiwan

AU - Hsu, Ya Ting

AU - Tsai, Hui Jen

AU - Chang, Jeffrey S.

AU - Li, Sin Syue

AU - Tang, Jih Luh

AU - Yeh, Su Peng

AU - Hwang, Wen Li

AU - Liu, Jin Hwang

AU - Tan, Tran Der

AU - Wang, Po Nan

AU - Hsiao, Hui Hua

AU - Chen, Tsai Yun

PY - 2018/8/1

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N2 - T-cell lymphomas are generally aggressive malignancies with poor prognosis. There are no standard treatment guidelines for T-cell lymphomas, and the timing of stem cell transplantation (SCT) is not well known. In this study, we investigated the outcomes of Taiwanese patients with T-cell lymphomas after SCT. We retrospectively analyzed 131 patients with T-cell lymphomas receiving SCT (autologous: 90, allogeneic: 41) from 2009 to 2014. More autologous SCT recipients were ALCL or in complete remission, and more allogeneic recipients had advanced disease. 56 patients who were sensitive to chemotherapy underwent SCT as upfront setting. The 2-year PFS and OS rates were 67.0 and 64.5%, respectively. Regarding disease status before transplantation, patients with CR1 had the best outcomes. Among different subtypes, patients with natural killer/T-cell lymphomas showed the worst outcomes, with 2-year OS rate of 23.5%. The OS rates for the other three major subtypes were as follows: 72.9% for ALCL; 75.0% for AITL; and 51.4% for PTCL-NOS. For more rare subtypes, such as ATLL and SPTCL, data from our study show that SCT can be beneficial. We concluded that upfront autologous SCT is feasible and effective for patients with low PIT, and disease status at transplant is the strong predictor of outcome.

AB - T-cell lymphomas are generally aggressive malignancies with poor prognosis. There are no standard treatment guidelines for T-cell lymphomas, and the timing of stem cell transplantation (SCT) is not well known. In this study, we investigated the outcomes of Taiwanese patients with T-cell lymphomas after SCT. We retrospectively analyzed 131 patients with T-cell lymphomas receiving SCT (autologous: 90, allogeneic: 41) from 2009 to 2014. More autologous SCT recipients were ALCL or in complete remission, and more allogeneic recipients had advanced disease. 56 patients who were sensitive to chemotherapy underwent SCT as upfront setting. The 2-year PFS and OS rates were 67.0 and 64.5%, respectively. Regarding disease status before transplantation, patients with CR1 had the best outcomes. Among different subtypes, patients with natural killer/T-cell lymphomas showed the worst outcomes, with 2-year OS rate of 23.5%. The OS rates for the other three major subtypes were as follows: 72.9% for ALCL; 75.0% for AITL; and 51.4% for PTCL-NOS. For more rare subtypes, such as ATLL and SPTCL, data from our study show that SCT can be beneficial. We concluded that upfront autologous SCT is feasible and effective for patients with low PIT, and disease status at transplant is the strong predictor of outcome.

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