Autologous Hematopoietic Stem Cell Transplantation in Pediatric Malignant Diseases: 12 Years of Experience

AYHAN DAĞDEMİR, CANAN ALBAYRAK, İBRAHİM KARTAL, MURAT ELLİ, OĞUZ SALİH DİNÇER

  • Yıl : 2022
  • Cilt : 38
  • Sayı : 3
  •  Sayfa : 148-155

Aim: In this study, we discuss the efficacy and safety of autologous hematopoietic stem cell transplantation
(AHSCT) for high-risk pediatric solid-tumor patients based on 1 2 years of experience.
Patients and Methods: The data of patients aged < 18 years with pediatric malignancies who underwent
AHSCT between January 2009 and July 2021 at the Pediatric Bone Marrow Transplant Unit were evaluated
retrospectively.
Results: Fifty-one patients (24 girls and 27 boys; median age, 7.8 years; range: 0.5–18 years) were
enrolled in the study; 20, 15, 8, 4, 2, and 2 patients had diagnoses of neuroblastoma, Ewing’s sarcoma,
Hodgkin’s lymphoma, non-Hodgkin’s lymphoma, germ cell tumor, and soft tissue sarcoma, respectively.
The median neutrophil and platelet engraftment times were 11 (8–45) and 16 (4–62) days, respectively,
and the median hospital stay was 38 (17–67) days. The median follow-up time was 2.83 (0.12–10.81)
years and the overall survival (OS) rate was 51.3 ± 10.3% for all patients; the median follow-up times
and survival rates for the Ewing’s sarcoma and neuroblastoma cases were 2.63 (0.12–10.55) years and
64.2 ± 14.9%, and 2.81 (0.31–7.91) years and 42.8 ± 12%, respectively. All four patients who received
the conditioning regimen of carboplatin, etoposide, and melphalan (CEM) died; 6 of 16 neuroblastoma
patients who received the busulfan and melphalan (Bu/Mel) regimen as a conditioning regimen died: the
median follow-up period of the Bu/Mel neuroblastoma patients was 3.08 (0.32–7.91) years and the OS
rate was 55.1 ± 13.8%.
Conclusion: Although the number of patients in this study was limited, AHSCT resulted in better survival
for Ewing’s sarcoma and neuroblastoma cases than reported for those who did not undergo AHSCT in
our clinic.

Atıf yapmak için : Kartal I, Dagdemir A, Dincer OS, Elli M, Albayrak C. Autologous Hematopoietic Stem Cell Transplantation in Pediatric Malignant Diseases: 12 Years of Experience. Selcuk Med J 2022;38(3): 148-155
Açıklama : Yazarların hiçbiri, bu makalede bahsedilen herhangi bir ürün, aygıt veya ilaç ile ilgili maddi çıkar ilişkisine sahip değildir. Araştırma, herhangi bir dış organizasyon tarafından desteklenmedi.Yazarlar çalışmanın birincil verilerine tam erişim izni vermek ve derginin talep ettiği takdirde verileri incelemesine izin vermeyi kabul etmektedirler.
Autologous Hematopoietic Stem Cell Transplantation in Pediatric Malignant Diseases: 12 Years of Experience
, Vol. 38 (3)
Geliş Tarihi : 01.09.2022, Kabul Tarihi : 01.09.2022, Yayın Tarihi : 08.09.2022
Selçuk Tıp Dergisi
ISSN:1017-6616;
E-ISSN:2149-8059;