Long-term survival in primary plasma cell leukemia after therapy with VAD, autologous blood stem cell transplantation and interferon-alpha

被引:14
作者
Panizo, C [1 ]
Rifón, J [1 ]
Rodríguez-Wilhelmi, P [1 ]
Cuesta, B [1 ]
Rocha, E [1 ]
机构
[1] Univ Navarra, Sch Med, Univ Navarra Clin, Dept Hematol, E-31008 Pamplona, Spain
关键词
autologous blood stem cell transplantation; interferon-alpha; large granular lymphocytes; plasma cell leukemia;
D O I
10.1159/000040952
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Primary plasma cell leukemia (PCL) is a rare form of plasma cell neoplasm with a poor prognosis. Conventional melphalan-based treatments have been most disappointing. We report the case of a 62-year-otd man with a primary form of PCL treated with VAD combination achieving an objective response, and who received high-dose melphalan and autologous peripheral blood stem cell (PBSC) transplantation followed by interferon-alpha. During the remission time, lasting for 3 years, an infiltration by large granular lymphocytes (LGL) was noted in peripheral blood. However, when the number of LGL declined, a bone marrow relapse was observed. The treatment for PCL and the possible role of these LGL on tumor cell control after autologous PBSC transplantation are discussed.
引用
收藏
页码:193 / 196
页数:4
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