Non-relapse cytopenias following allogeneic stem cell transplantation, a case based review.


Journal

Bone marrow transplantation
ISSN: 1476-5365
Titre abrégé: Bone Marrow Transplant
Pays: England
ID NLM: 8702459

Informations de publication

Date de publication:
10 2022
Historique:
received: 09 02 2022
accepted: 08 07 2022
revised: 06 07 2022
pubmed: 24 7 2022
medline: 7 10 2022
entrez: 23 7 2022
Statut: ppublish

Résumé

The development of non-relapse cytopenias (NRC) is a relatively common occurrence post allogeneic stem cell transplant (alloSCT). Whilst there have been attempts to classify post alloSCT cytopenias by transplantation groups, ambiguity of definitions in prior publications compounded by a lack of availability of high-quality evidence, provide challenges to clinicians attempting to manage these complex patients. In this review we describe 3 cases of NRC, (1) Graft Failure with graft rejection representing cytopenias with minimal donor chimerism (2) Poor Graft Function representing cytopenias with complete donor chimerism and (3) Cytopenias with mixed donor chimerism. This case-based review will evaluate the currently available evidence regarding the pathophysiology of each entity as well as the evidence for current therapies with the aim of providing guidance to clinicians managing these complex patients.

Identifiants

pubmed: 35871087
doi: 10.1038/s41409-022-01761-z
pii: 10.1038/s41409-022-01761-z
doi:

Types de publication

Journal Article Review Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1489-1499

Informations de copyright

© 2022. The Author(s), under exclusive licence to Springer Nature Limited.

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Auteurs

Ashvind Prabahran (A)

Department, of Clinical Haematology, Peter MacCallum Cancer Centre and The Royal Melbourne Hospital, Parkville, VIC, Australia. ashvind.prabahran@mh.org.au.
ACRF Translational Research Laboratory, Royal Melbourne Hospital, Parkville, VIC, Australia. ashvind.prabahran@mh.org.au.
The University of Melbourne, Parkville, VIC, Australia. ashvind.prabahran@mh.org.au.

Rachel Koldej (R)

ACRF Translational Research Laboratory, Royal Melbourne Hospital, Parkville, VIC, Australia.
The University of Melbourne, Parkville, VIC, Australia.

Lynette Chee (L)

Department, of Clinical Haematology, Peter MacCallum Cancer Centre and The Royal Melbourne Hospital, Parkville, VIC, Australia.
ACRF Translational Research Laboratory, Royal Melbourne Hospital, Parkville, VIC, Australia.
The University of Melbourne, Parkville, VIC, Australia.

Jeff Szer (J)

Department, of Clinical Haematology, Peter MacCallum Cancer Centre and The Royal Melbourne Hospital, Parkville, VIC, Australia.
The University of Melbourne, Parkville, VIC, Australia.

David Ritchie (D)

Department, of Clinical Haematology, Peter MacCallum Cancer Centre and The Royal Melbourne Hospital, Parkville, VIC, Australia.
ACRF Translational Research Laboratory, Royal Melbourne Hospital, Parkville, VIC, Australia.
The University of Melbourne, Parkville, VIC, Australia.

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