Abstract
The objective of this registry study was to analyse the outcome of patients who underwent allogeneic or autologous haematopoietic stem cell transplantation (HSCT) for hepatosplenic T-cell lymphoma (HSTL), a rare and extremely aggressive peripheral T-cell lymphoma subtype. Patients were eligible if they had histologically verified HSTL and underwent HSCT between 2003 and 2011. Seventy-six patients were identified in the European Society for Bone and Marrow Transplantation database. Additional baseline and follow-up information could be obtained from the referring centres for 36 patients. Eleven of these were excluded following histopathology review, leaving 25 patients in the final study cohort (alloHSCT 18, autoHSCT 7). With a median follow-up of 36 months, 2 patients relapsed after alloHSCT, resulting in a 3-year progression-free survival of 48%. After autoHSCT, 5 patients relapsed and subsequently died. This study indicates that graft-versus-lymphoma activity conferred by alloHSCT can result in long-term survival for a substantial proportion of patients with HSTL.
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Acknowledgements
We thank all EBMT centres that participated in this study.
Author Contributions
AT and PD proposed the study, interpreted the data and wrote the manuscript. NS helped in interpreting data and writing the manuscript. AB helped with the design and was responsible for statistical analysis. HS provided the expert histopathology review. HF was the study coordinator. LC, DB, NM, GS, AS, KT, EV, AV reported updated patient data and read and commented on the manuscript. Additional colleagues reporting data into the study are listed in Appendix below. All authors proofread the manuscript and agreed on the data presented.
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Supplementary Information accompanies this paper on the Leukemia website
Appendix
Appendix
Investigators and institutions not included in the author list
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Irit Avivi, Rambam Medical Center, Haifa, Israël
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Ali Bazarbachi, American University of Beirut Medical Center, Beirut, Lebanon
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Wolfgang Bethge, Universität Tübingen, Tübingen, Germany
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Ildefonso Espigado, Hospital Universitario Virgen del Rocío, Sevilla, Spain
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Edgar Faber, University Hospital, Olomouc, Czech Republic
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Nathalie Fegueux, CHU Lapeyronie, Montpellier, France
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Bertram Glass, Asklepios Klinik St. Georg, Hamburg, Germany
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Hannah Hunter, Plymouth Hospitals NHS Trust, Plymouth, UK
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Norbert Ifrah, CHRU, Angers, France
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Per Ljungman, Karolinska University Hospital, Stockholm, Sweden
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Mauricette Michallet, Centre Hospitalier Lyon Sud, Lyon, France
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Jose Maria Moraleda, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain
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Reuven Or, Hadassah University Hospital, Jerusalem, Israël
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Xavier Poiré, Cliniques Universitaires St. Luc, Brussels, Belgium
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Jose Pretnar, University Med. Center, Ljubljana, Slovenia
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Alessandro Rambaldi, Azienda Ospedaliera Papa Giovanni XXIII, Bergamo, Italy
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Deniz Sargýn, Istanbul Tip Fakuoltesi, Istanbul, Turkey
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Simona Sica, Universita Cattolica S. Cuore, Rome, Italy
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John Snowden, Sheffield Teaching Hospitals NHS Trust, Sheffield, UK
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Alexandros Spyridonidis, Patras University Medical School, Patras, Greece
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Jean Paul Vernant, Hôpital de la Pitié-Salpètrière, Paris, France
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Anders Wahlin, Umea University Hospital, Umeå, Sweden
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Moshe Yeshurun, Beilinson Hospital, Petach-Tikva, Israël
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Tanase, A., Schmitz, N., Stein, H. et al. Allogeneic and autologous stem cell transplantation for hepatosplenic T-cell lymphoma: a retrospective study of the EBMT Lymphoma Working Party. Leukemia 29, 686–688 (2015). https://doi.org/10.1038/leu.2014.280
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DOI: https://doi.org/10.1038/leu.2014.280
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