Non-malignant late effects in lymphoma patients treated with autologous hematopoietic stem cell transplantation
Otolog hematopoietik kök hücre nakli yapılan lenfomalı hastalarda malign olmayan geç etkiler
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DOI:
https://doi.org/10.5152/EurJTher.2017.66Keywords:
Lymphoma, autologous hematopoietic stem cell transplantation, non-malignant, late effectAbstract
Objective: Developments in transplantation procedures have led to an increase in the number of long-term survivors after hematopoietic stem cell transplantation (HSCT). In this study, we investigated non-malignant late side effects after autologous HSCT (AHSCT) in lymphoma patients.
Methods: Patients were evaluated for immune system, eye, lung, heart, liver, kidney, and endocrine function tests.
Results: Nine (26%) patients had absolute lymphopenia. Cataract was the only eye complication. Four (11.4%) patients had obstructive- and 8 (22.9%) had restrictive-type pulmonary function abnormalities. Only one patient had symptomatic heart failure. One patient developed renal failure. Fifty-three percent of male patients described impotence. The most frequent endocrine disorder was hypothyroidism. Five (14.2%) patients had osteoporosis.
Conclusion: There is not enough data on the non-malignant late effects after AHSCT. Although the lack of a control group is a limitation of our study, our results emphasize the importance of following AHSCT patients for non-malignant late effects of transplantation.
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Majhail NS, Ness KK, Burns LJ, Sun CL, Carter A, Francisco L, et al. Late effects in survivors of Hodgkin and non-Hodgkin lymphoma treated with autologous hematopoietic cell transplantation: a report from the bone marrow transplant survivor study. Biol Blood Marrow Transplant 2007; 13: 1153-9.
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