| Literature DB >> 18455284 |
Tom Lodewyck1, Jan J Cornelissen.
Abstract
Allogeneic hematopoietic stem cell transplantation (alloSCT) is nowadays most frequently applied in patients with acute myeloid leukemia (AML). It combines chemoradiotherapy with immunotherapy, also known as the graft-versus-leukemia (GVL) effect. While it effectively reduces the relapse rate in patients, transplanted in remission, non-relapse mortality (NRM) may counterbalance that beneficial effect. As a result, alloSCT is generally associated with a modest gain in overall survival. Therefore, alloSCT may especially be applied in patients with a relatively high risk of relapse and a relatively low risk of NRM. Here, we discuss how recent findings that have identified and validated specific prognostic factors may affect our decision making for which category of AML-patients alloSCT may especially be indicated.Entities:
Mesh:
Year: 2008 PMID: 18455284 DOI: 10.1016/j.blre.2008.03.008
Source DB: PubMed Journal: Blood Rev ISSN: 0268-960X Impact factor: 8.250