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Sökning: onr:"swepub:oai:lup.lub.lu.se:ec8a8fac-2a28-4d96-8451-45875076f3ef" > Allogeneic haematop...

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FältnamnIndikatorerMetadata
00004193naa a2200613 4500
001oai:lup.lub.lu.se:ec8a8fac-2a28-4d96-8451-45875076f3ef
003SwePub
008160401s2006 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:1956099
024a https://lup.lub.lu.se/record/4042472 URI
024a https://doi.org/10.1093/annonc/mdl0862 DOI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:19560992 URI
040 a (SwePub)lud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a art2 swepub-publicationtype
072 7a ref2 swepub-contenttype
100a Barkholt, L.4 aut
2451 0a Allogeneic haematopoietic stem cell transplantation for metastatic renal carcinoma in Europe
264 1b Elsevier BV,c 2006
520 a Background: An allogeneic antitumour effect has been reported for various cancers. We evaluated the experience of allogeneic haematopoietic stem cell transplantation (HSCT) for renal cell carcinoma (RCC) in 124 patients from 21 European centres. Patients and methods: Reduced intensity conditioning and peripheral blood stem cells from an HLA-identical sibling (n = 106), a mismatched related (n = 5), or an unrelated (n = 13) donor were used. Immunosuppression was cyclosporine alone, or combined with methotrexate or mycophenolate mofetil. Donor lymphocyte infusions (DLI) were given to 42 patients. The median follow-up was 15 (range 3-41) months. Results: All but three patients engrafted. The cumulative incidence of moderate to severe, grades II-IV acute GVHD was 40% and for chronic GVHD it was 33%. Transplant-related mortality was 16% at one year. Complete (n = 4) or partial (n = 24) responses, median 150 (range 42-600) days post-transplant, were associated with time from diagnosis to HSCT, mismatched donor and acute GVHD II-IV. Factors associated with survival included chronic GVHD (hazards ratio, HR 4.12, P < 0.001), DLI (HR 3.39, P < 0.001), < 3 metastatic sites (HR 2.61, P = 0.002) and a Karnofsky score > 70 (HR 2.33, P = 0.03). Patients (n = 17) with chronic GVHD and given DLI had a 2-year survival of 70%. Conclusion: Patients with metastatic RCC, less than three metastatic locations and a Karnofsky score > 70% can be considered for HSCT. Posttransplant DLI and limited chronic GVHD improved the patient survival.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Cancer och onkologi0 (SwePub)302032 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cancer and Oncology0 (SwePub)302032 hsv//eng
653 a reduced
653 a allogeneic stem cell transplantation
653 a intensity conditioning
653 a renal cell carcinoma
653 a antitumour effect
700a Bregni, M.4 aut
700a Remberger, M.u Karolinska Institutet4 aut
700a Blaise, D.4 aut
700a Peccatori, J.4 aut
700a Massenkeil, G.4 aut
700a Pedrazzoli, P.4 aut
700a Zambelli, A.4 aut
700a Bay, J. -O.4 aut
700a Francois, S.4 aut
700a Martino, R.4 aut
700a Bengala, C.4 aut
700a Brune, M.4 aut
700a Lenhoff, Stigu Lund University,Lunds universitet,Avdelningen för hematologi och transfusionsmedicin,Institutionen för laboratoriemedicin,Medicinska fakulteten,Division of Hematology and Transfusion Medicine,Department of Laboratory Medicine,Faculty of Medicine4 aut0 (Swepub:lu)med-slf
700a Porcellini, A.4 aut
700a Falda, M.4 aut
700a Siena, S.4 aut
700a Demirer, T.4 aut
700a Niederwieser, D.4 aut
700a Ringden, O.u Karolinska Institutet4 aut
710a Karolinska Institutetb Avdelningen för hematologi och transfusionsmedicin4 org
773t Annals of Oncologyd : Elsevier BVg 17:7, s. 1134-1140q 17:7<1134-1140x 1569-8041x 0923-7534
856u http://dx.doi.org/10.1093/annonc/mdl086x freey FULLTEXT
856u https://doi.org/10.1093/annonc/mdl086
8564 8u https://lup.lub.lu.se/record/404247
8564 8u https://doi.org/10.1093/annonc/mdl086
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:1956099

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