[翻译文章] 输血造血干细胞移植后的粘膜皮肤变化:文献更新和评论
M Mansilla-Polo1, J López-Davia2, D Morgado-Carrasco3
1Servicio de Dermatología, Hospital Universitario y Politécnico La Fe, Valencia, Spain; Instituto de Investigación Sanitaria La Fe (IIS La Fe), Valencia, Spain; Departamento de Dermatología, Facultad de Medicina, Universidad de Valencia, Valencia, Spain.
Actas dermo-sifiliograficas
|June 25, 2025
概括
造血干细胞移植 (HSCT) 可以导致粘膜皮肤问题,如移植与宿主疾病 (GVHD) 和皮肤癌. 早期检测和多学科护理对于患者的治疗结果至关重要.
科学领域:
- 血液学 血液学 血液学
- 皮肤病学 皮肤病学
- 在瘤学瘤学.
背景情况:
- 造血干细胞移植 (HSCT) 是许多疾病的转化疗法.
- HSCT与包括粘膜皮肤不良事件在内的重大风险有关.
- 粘膜皮肤并发症会影响患者的生活质量和治疗成功.
研究的目的:
- 为了提供一个叙述性回顾的粘膜皮肤变化后HSCT.
- 要突出常见和具有挑战性的并发症,如移植与宿主疾病 (GVHD).
- 讨论HSCT接受者的粘膜皮肤瘤风险增加.
主要方法:
- 对与HSCT相关的粘膜皮肤并发症研究的文献综述.
- 综合有关诊断和管理策略的信息.
- 分析有关HSCT后瘤发展的数据.
主要成果:
- 急性和慢性移植对宿主疾病 (GVHD) 是需要谨慎管理的突出并发症.
- 其他常见问题包括皮肤不良反应和粘膜皮肤感染.
- 有证据表明,在HSCT幸存者中,粘膜皮肤瘤的发病率较高.
结论:
- 早期发现和多学科管理粘膜皮肤并发症对于改善患者的治疗结果至关重要.
- 建议对皮肤癌进行查,特别是对于具有额外风险因素的患者.
- 解决这些不良事件可以提高HSCT接受者的长期生活质量.
相关概念视频
Hematopoiesis
8.1K
The process of blood cell formation is called hematopoiesis. Hematopoiesis starts early during development, on the seventh day of embryogenesis. This phase of hematopoiesis is called the primitive wave, wherein the extraembryonic yolk sac allows the production of erythroid cells and endothelial cells from a common precursor called hemangioblast. The erythroid cells provide oxygen to support the growth of the rapidly dividing embryo. Hemangioblasts later develop into hematopoietic stem cells or...
8.1K
Multipotency of Hematopoietic Stem Cells
3.1K
The hematopoietic stem cells or HSCs are multipotent, meaning they can differentiate and give rise to all blood and immune cells. HSCs are maintained in the quiescent stage until an external stimulus initiates their differentiation. The multipotent HSCs exist as two heterogeneous populations, long-term repopulating cells (LTRC) and short-term repopulating cells (STRC). The two HSC populations have different surface markers or receptors and are classified based on quiescence and long-term...
3.1K
Regulation of Hematopoietic Stem Cells
3.4K
All blood and immune cells are produced from the multipotent hematopoietic stem cells (HSCs) by the process of hematopoiesis. However, they all have a limited life span. In addition, many are depleted in immune surveillance or combatting an injury or infection. This makes blood one of the most regenerative tissues. Hematopoiesis helps replenish these blood and immune cells, restoring the body's normal functioning. However, overproduction of blood and immune cells can make them cancerous or...
3.4K
Bone Marrow Sampling and Transplants
3.0K
Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
3.0K
Tissue Transplantation
1.4K
Tissue transplantation is a significant medical procedure involving the transfer of cells, tissues, or organs from a donor to a recipient, with the primary aim of restoring lost functions. This procedure is crucial in treating a broad spectrum of diseases, including kidney diseases, liver failure, heart disease, and certain types of cancers.
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
1.4K


