异基因造血干细胞移植在老年急性髓系白血病中的应用综述

Q4 Medicine
Xu-Er Bi, Pei-Pei Ye
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引用次数: 0

摘要

医疗技术的发展和寿命的延长促进了人口老龄化,恶性血液病在老年人中逐渐普遍。其中,最常见的是急性髓性白血病(AML),诊断时的中位年龄为68岁。老年AML患者由于临床条件差,合并症严重,对强化治疗耐受性差,以及不利或复杂的细胞遗传学和多药耐药,预后较差,治疗相关毒性和死亡风险增加。同种异体造血干细胞移植(Allogeneic hematopoietic stem cell transplantation, alloo - hsct)是老年AML患者的最佳治疗策略之一。随着低强度调节(RIC)的改善、供体选择的扩大、移植物抗宿主病(GVHD)预防方案的优化以及支持治疗的进展,越来越多的老年AML患者选择了同种异体造血干细胞移植。本文综述了近年来同种异体造血干细胞移植在老年AML患者中的应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Application of Allogeneic Hematopoietic Stem Cell Transplantation in Elderly Patients with Acute Myeloid Leukemia--Review].

The development of medical technology and the extension of lifespan have promoted population aging, and malignant blood diseases are gradually becoming common in the elderly. Among them, the most common is acute myeloid leukemia (AML), with a median age at diagnosis of 68 years old. Due to poor clinical conditions, severe comorbidities, poor tolerance to intensive therapy, as well as unfavorable or complex cytogenetics and multidrug resistance, elderly AML patients have a poorer prognosis and increased risks of treatment-related toxicity and mortality. Allogeneic hematopoietic stem cell transplantation (allo-HSCT) is one of the optimal treatment strategies for elderly AML patients. With improvements in reduced-intensity conditioning (RIC), the expansion of donor selection, the optimization of graft-versus-host disease (GVHD) prevention regimen, and the progress of supportive care, more elderly AML patients have been choosing allo-HSCT. This article reviews the recent applications of allo-HSCT in elderly AML patients.

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来源期刊
中国实验血液学杂志
中国实验血液学杂志 Medicine-Medicine (all)
CiteScore
0.40
自引率
0.00%
发文量
7331
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