Diagnosis and Treatment of Acquired Aplastic Anemia

被引:41
作者
Bacigalupo, Andrea [1 ]
Passweg, Jakob [2 ]
机构
[1] Osped San Martino Largo, Div Ematol & Trapianto Midollo Osseo, I-16132 Genoa, Italy
[2] Hop Cantonal Univ Geneva, Serv Hematol, Geneva, Switzerland
关键词
Antithymocyte globulin; Hemopoietic stem cell transplantation; Bone marrow failure; Cyclosporine; Growth factors; BONE-MARROW-TRANSPLANTATION; STEM-CELL TRANSPLANTATION; COLONY-STIMULATING FACTOR; IMMUNOSUPPRESSIVE THERAPY; ANTILYMPHOCYTE GLOBULIN; UNRELATED DONORS; CYCLOSPORINE-A; FOLLOW-UP; ANTITHYMOCYTE GLOBULIN; RANDOMIZED-TRIAL;
D O I
10.1016/j.hoc.2009.01.005
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Acquired severe aplastic; anemia can be treated successfully with either immunosuppressive therapy or bone marrow transplantation. Although immunosuppressive therapy can be readily administered to all patients, it is not a curative approach and is associated with a higher risk of clonal evolution than is transplantation, which yields rapid and long-lasting hematologic remission. This article reviews the key diagnostic and prognostic factors that influence the choice of therapy in patients with acquired aplastic: anemia.
引用
收藏
页码:159 / +
页数:13
相关论文
共 43 条
  • [1] Bacigalupo A, 2000, SEMIN HEMATOL, V37, P69, DOI 10.1016/S0037-1963(00)90031-3
  • [2] Fludarabine, cyclophosphamide and anti-thymocyte globulin for alternative donor transplants in acquired severe aplastic anemia:: a report from the EBMT-SAA Working Party
    Bacigalupo, A
    Locatelli, F
    Lanino, E
    Marsh, J
    Socié, G
    Maury, S
    Prete, A
    Locasciulli, A
    Cesaro, S
    Passweg, J
    [J]. BONE MARROW TRANSPLANTATION, 2005, 36 (11) : 947 - 950
  • [3] Antilymphocyte globulin, cyclosporine, prednisolone, and granulocyte colony-stimulating factor for severe aplastic anemia: an update of the GITMO/EBMT study on 100 patients
    Bacigalupo, A
    Bruno, B
    Saracco, P
    Di Bona, E
    Locasciulli, A
    Locatelli, F
    Gabbas, A
    Dufour, C
    Arcese, W
    Testi, G
    Broccia, G
    Carotenuto, M
    Coser, P
    Barbui, T
    Leoni, P
    Ferster, A
    [J]. BLOOD, 2000, 95 (06) : 1931 - 1934
  • [4] TREATMENT OF APLASTIC-ANEMIA (AA) WITH ANTILYMPHOCYTE GLOBULIN (ALG) AND METHYLPREDNISOLONE (MPRED) WITH OR WITHOUT ANDROGENS - A RANDOMIZED TRIAL FROM THE EBMT-SAA WORKING PARTY
    BACIGALUPO, A
    CHAPLE, M
    HOWS, J
    VANLINT, MT
    MCCANN, S
    MILLIGAN, D
    CHESSELLS, J
    GOLDSTONE, AH
    OTTOLANDER, J
    VANTVEER, ET
    COMOTTI, B
    COSER, P
    BROCCIA, G
    BOSI, A
    LOCASCIULLI, A
    CATALANO, L
    BATTISTA, R
    ARCESE, W
    CAROTENUTO, M
    MARMONT, AM
    SMITH, ECG
    [J]. BRITISH JOURNAL OF HAEMATOLOGY, 1993, 83 (01) : 145 - 151
  • [5] BONE-MARROW TRANSPLANTATION (BMT) VERSUS IMMUNOSUPPRESSION FOR THE TREATMENT OF SEVERE APLASTIC-ANEMIA (SAA) - A REPORT OF THE EBMT SAA WORKING PARTY
    BACIGALUPO, A
    HOWS, J
    GLUCKMAN, E
    NISSEN, C
    MARSH, J
    VANLINT, MT
    CONGIU, M
    DEPLANQUE, MM
    ERNST, P
    MCCANN, S
    RAGAVASHAR, A
    FRICKHOFEN, N
    WURSCH, A
    MARMONT, AM
    GORDONSMITH, EC
    [J]. BRITISH JOURNAL OF HAEMATOLOGY, 1988, 70 (02) : 177 - 182
  • [6] Fanconi anemia
    Bagby, Grover C.
    Alter, Blanche P.
    [J]. SEMINARS IN HEMATOLOGY, 2006, 43 (03) : 147 - 156
  • [7] GAMMA-IRRADIATION OF PRETRANSPLANT BLOOD-TRANSFUSIONS FROM UNRELATED DONORS PREVENTS SENSITIZATION TO MINOR HISTOCOMPATIBILITY ANTIGENS ON DOG LEUKOCYTE ANTIGEN-IDENTICAL CANINE MARROW GRAFTS
    BEAN, MA
    GRAHAM, T
    APPELBAUM, FR
    DEEG, HJ
    SCHUENING, F
    SALE, GE
    STORB, R
    [J]. TRANSPLANTATION, 1994, 57 (03) : 423 - 426
  • [8] CAMITTA B, 1983, BLOOD, V62, P883
  • [9] Bone marrow transplantation for severe aplastic anemia: a randomized controlled study of conditioning regimens
    Champlin, Richard E.
    Perez, Waleska S.
    Passweg, Jakob R.
    Klein, John P.
    Camitta, Bruce M.
    Gluckman, Eliane
    Bredeson, Christopher N.
    Eapen, Mary
    Horowitz, Mary M.
    [J]. BLOOD, 2007, 109 (10) : 4582 - 4585
  • [10] Marrow transplants from unrelated donors for patients with aplastic anemia: Minimum effective dose of total body irradiation
    Deeg, HJ
    Amylon, MD
    Harris, RE
    Collins, R
    Beatty, PG
    Feig, S
    Ramsay, N
    Territo, M
    Khan, SP
    Pamphilon, D
    Leis, JF
    Burdach, S
    Anasetti, C
    Hackman, R
    Storer, B
    Mueller, B
    [J]. BIOLOGY OF BLOOD AND MARROW TRANSPLANTATION, 2001, 7 (04) : 208 - 215