PERIPHERAL-BLOOD STEM-CELL MOBILIZATION USING HIGH-DOSE CYCLOPHOSPHAMIDE AND G-CSF IN PRETREATED PATIENTS WITH LYMPHOMA

被引:23
作者
CRAIG, JIO [1 ]
ANTHONY, RS [1 ]
STEWART, A [1 ]
THOMSON, EB [1 ]
GILLON, J [1 ]
PARKER, AC [1 ]
机构
[1] ROYAL EDINBURGH & ASSOCIATED HOSP,SE SCOTLAND BLOOD TRANSFUS SERV,EDINBURGH EH3 9YW,MIDLOTHIAN,SCOTLAND
关键词
D O I
10.1111/j.1365-2141.1993.tb08675.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Peripheral blood stem cell (PBSC) mobilization for autologous transplantation is more difficult in treated patients and those with bone marrow involvement. In 17 pretreated lymphoma patients, cyclophosphamide (4 g/ml) and G-CSF mobilized a median circulating peak of 19 59 CFU-GM/ml on day 12.5. PBSC harvesting commenced when WBC was 1 x 10(9)/l at day 10.5 collected a median of 21.2 x 10(4)/CFU-GM/kg. 13/17 (76%) patients exceeded the 10 X 10((4) CFU-GM/kg threshold for engraftment. The CFU-GM yield was significantly higher in patients whose WBC recovered from 1-5 x 10(9)/1 in less than 3 days and correlated with the maximum WBC pre and post the cyclophosphamide induced nadir. This regime safely mobilized adequate PBSC in the majority of pretreated lymphoma patients.
引用
收藏
页码:210 / 212
页数:3
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