Treatment of High-Risk Peripheral T-Cell Lymphomas other than Anaplastic Large-Cell Lymphoma with a Dose-Intensified CHOP Regimen Followed by High-Dose Chemotherapy

Autor: Shingo Aikawa, Kazuhiro Takei, Takeyoshi Ito, Yoshihiro Hatta, Tetsuo Yamazaki, Jin Takeuchi, Umihiko Sawada, Minoru Saiki, Hikaru Ishizuka, Kumi Uenogawa, Yoshimasa Kura
Rok vydání: 2006
Předmět:
Zdroj: Acta Haematologica. 116:90-95
ISSN: 1421-9662
0001-5792
DOI: 10.1159/000093637
Popis: We investigated the efficacy of a dose-intensified double-CHOP regimen followed by high-dose chemotherapy with or without peripheral blood stem cell transplantation (PBSCT) in 11 patients with four types of peripheral T-cell lymphoma (PTCL). Three of the 4 patients with unspecified PTCL (PTCLu) achieved complete response (CR); 1 patient relapsed and 1 died of secondary leukemia after consolidation therapy. All angioimmunoblastic T-cell lymphoma (AILT) and subcutaneous panniculitis-like T-cell lymphoma (SPTCL) patients achieved CR; 5 of 6 have remained disease free for more than 3 years. The patient with hepatosplenic lymphoma did not achieve CR even after PBSCT and underwent allogenic bone marrow transplantation (allo-BMT). Thus, our regimen appears to be effective for high-risk AILT and SPTCL. However, allo-BMT should be considered for high-risk of PTCLu and hepatosplenic T-cell lymphoma.
Databáze: OpenAIRE