Hematopoietic stem cell transplantation for the management of follicular lymphoma
- PMID: 24198512
 - PMCID: PMC3781727
 - DOI: 10.2147/sccaa.s7014
 
Hematopoietic stem cell transplantation for the management of follicular lymphoma
Abstract
Although much has been published on the application of autologous and allogeneic hematopoietic stem cell transplantation in patients with follicular lymphoma (FL), no uniform consensus exists among physicians on when to use this strategy. Three large randomized trials failed to show a survival benefit using autologous transplantation for FL patients in first complete remission. Similarly, many Phase II or registry-based studies have also failed to show a survival benefit with autologous transplantation in relapsed or refractory FL patients, although the progression-free survival seems to be prolonged in transplant recipients. Allogeneic stem cell transplantation can cure a subset of patients with FL, but high nonrelapse mortality and morbidity remain a concern. No consensus exists on what conditioning regimen should be used, or how the newer monoclonal antibodies should be incorporated into the transplant paradigm. Here we present a review of the role of autologous and allogeneic hematopoietic stem cell transplantation in patients with FL.
Keywords: allogeneic transplantation; autologous transplantation; follicular lymphoma; review.
References
- 
    
- Armitage JO, Weisenburger DD. New approach to classifying non-Hodgkin’s lymphomas: Clinical features of the major histologic subtypes. Non-Hodgkin’s Lymphoma Classification Project. J Clin Oncol. 1998;16(8):2780–2795. - PubMed
 
 - 
    
- Johnson PW, Rohatiner AZ, Whelan JS, et al. Patterns of survival in patients with recurrent follicular lymphoma: A 20-year study from a single center. J Clin Oncol. 1995;13(1):140–147. - PubMed
 
 - 
    
- Horning SJ. Follicular lymphoma: Have we made any progress? Ann Oncol. 2000;11(Suppl 1):23–27. - PubMed
 
 - 
    
- Fisher RI, LeBlanc M, Press OW, Maloney DG, Unger JM, Miller TP. New treatment options have changed the survival of patients with follicular lymphoma. J Clin Oncol. 2005;23(33):8447–8452. - PubMed
 
 - 
    
- Swenson WT, Wooldridge JE, Lynch CF, Forman-Hoffman VL, Chrischilles E, Link BK. Improved survival of follicular lymphoma patients in the United States. J Clin Oncol. 2005;23(22):5019–5026. - PubMed
 
 
Publication types
LinkOut - more resources
Full Text Sources
