ASH 2010 Who should be treated wih ICT after SZT ?
http://ash.confex.com/ash/2010/webpr...aper26539.html
3444 Prognostic Impact of Posttransplantation Serum Ferritin In Allogeneic Stem Cell Transplantation for Leukemia or Myelodysplastic Syndrome This Japanese study evaluated the impact of the post-transplantation iron overload in 107 patients after allogeneic SZT." There were included only people in the study who survived 1 year or longer. The patients formed two groups with pretransplantation Ferritin < 1000 ng/ml - low, and >= 1000 ng/ml - high. "There was no significant difference between the low and high pretransplantation ferritin groups with respect to 5-year overall survival" "Patients receiving more than 6 units of RBC (after SZT, akita) had significantly higher serum ferritin levels from 1 to 3 years after SCT. Patients with chronic graft-versus-host disease (cGVHD) showed significantly higher serum ferritin levels from 2 to 4 years after SCT compared to patients without chronic GVHD." A high ferritin after SCT was independently associated with worse 5-year OS and also with worse 5-year desease-free survival by multivariate analysis Citation: "These results might help to decide which patients should be treated with iron chelating therapy after SCT." |
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