Allogeneic stem cell transplantation for aplastic anemia

被引:47
作者
Armand, Philippe [1 ]
Antin, Joseph H. [1 ]
机构
[1] Dana Farber Canc Inst, Dept Med Oncol, Boston, MA 02115 USA
关键词
aplastic anemia; allogeneic stem cell transplantation; immunosuppressive therapy;
D O I
10.1016/j.bbmt.2007.02.005
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Aplastic anemia encompasses a heterogeneous group of diseases with distinct pathophysiologies and a common clinical endpoint of marrow failure. Patients with severe aplastic anemia can be treated with immunosuppressive therapy (IST) or hematopoietic stem cell transplantation (HSCT). Over the last 30 years, advances in both treatment modalities have significantly improved the prognosis for this disease; yet this evolution complicates the central therapeutic question in aplastic anemia: which patients should receive IST and which ones should receive HSCT as front-line therapy? In this review, we describe the major improvements that have occurred in transplantation for aplastic anemia in the last 3 decades. We then outline a framework for deciding which patients should be considered for upfront transplantation. (c) 2007 American Society for Blood and Marrow Transplantation.
引用
收藏
页码:505 / 516
页数:12
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