title: Autologous stem cell transplantation for Hodgkin's lymphoma: results and prognostic factors in 51 high-risk patients.
abstract: Autologous stem cell transplantation (ASCT) is largely employed in primary resistant or recurrent Hodgkin's Lymphoma (HL), while its role early in the course of the disease is still controversial. Our purpose was to analyse the results of 51 high-risk HL patients autografted at our Institution and the role of possible prognostic risk factors for the outcome. Twelve (23.5%) patients were in complete remission at transplant and were transplanted as having an high risk disease; 20 (39.5%) patients were in partial response and 19 (37.0%) were transplanted as primary induction failure. At a median time of 38 (6-111) months from ASCT, 36 (70.5%) patients are alive in complete remission, 8 (15.5%) patients are alive with disease and 7 (14.0%) died for progression. Thirty out of 32 (94.0%) patients transplanted with responsive disease (either complete or partial response) are alive without disease. Six out of 19 (32.0%) patients transplanted with resistant disease are alive in complete remission. The overall survival of the entire population is 77.0% at 60 (14-151) months from diagnosis. Disease free survival of the 22 patients that achieved a complete remission after ASCT (16 in partial response and 6 with resistant disease) is 100%. In our experience, more than 90% of patients transplanted with responsive but high risk disease, seem achieving and maintaining a durable complete remission, and more than 30.0% of patients submitted to ASCT with refractory disease can be potentially rescued by transplant.
authors.affiliation: Division of Haematology, Bone Marrow Transplant Unit, Department of Medical and Morphological Research, University Hospital, Udine, Italy. Ematologia@drmm.uniud.it
authors.forename: Alessandra
authors.initials: A
authors.lastname: Sperotto
authors.forename: Daniela
authors.initials: D
authors.lastname: Damiani
authors.forename: Francesco
authors.initials: F
authors.lastname: Zaja
authors.forename: Francesca
authors.initials: F
authors.lastname: Patriarca
authors.forename: Antonella
authors.initials: A
authors.lastname: Geromin
authors.forename: Michela
authors.initials: M
authors.lastname: Cerno
authors.forename: Raffaella
authors.initials: R
authors.lastname: Stocchi
authors.forename: Mario
authors.initials: M
authors.lastname: Tiribelli
authors.forename: Cristina
authors.initials: C
authors.lastname: Skert
authors.forename: Cristina
authors.initials: C
authors.lastname: Rinaldi
authors.forename: Renato
authors.initials: R
authors.lastname: Fanin
mesh_terms: D000293:Adolescent; D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols; D002330:Carmustine; D003131:Combined Modality Therapy; D003561:Cytarabine; D005047:Etoposide; D005260:Female; D018380:Hematopoietic Stem Cell Transplantation / Q000379:methods*; D006689:Hodgkin Disease / Q000401:mortality / Q000473:pathology / Q000628:therapy*; D006801:Humans; D007558:Italy / Q000453:epidemiology; D008198:Lymph Nodes / Q000473:pathology; D008297:Male; D008558:Melphalan; D008875:Middle Aged; D011379:Prognosis; D012074:Remission Induction; D015996:Survival Rate; D019172:Transplantation Conditioning; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D003561:Cytarabine; D005047:Etoposide; D008558:Melphalan; D002330:Carmustine