在多发性骨髓瘤中进行并列自身造血干细胞移植:历史视角和当前挑战
Xueting Wang1, Yushan Cui1, Yaomei Wang1
1Department of Hematology, Henan Institute of Hematology, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, 450008, China.
Annals of hematology
|September 14, 2025
概括
串联自主干细胞移植可能会改善高风险多发性骨髓瘤患者的生存率. 本综述探讨了它对单次移植和新疗法的作用.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 移植医学 移植医学
背景情况:
- 多发性骨髓瘤 (MM) 是一种无法治愈的血液癌症.
- 自主造血干细胞移植 (auto-HSCT) 是适合移植的患者的标准.
- 高风险MM (HRMM) 可能从协同自动HSCT中受益,但新型疗法存在挑战.
研究的目的:
- 为了比较双重对单个自动HSCT在MM的疗效.
- 在自动HSCT后评估顺序的异构HSCT.
- 在新的MM治疗中评估协同自动HSCT的作用.
主要方法:
- 文献审查和批判分析.
- 生存结果的比较 (PFS,OS).
- 与移植相关的死亡率 (TRM) 和GVHD的评估.
主要成果:
- 协同自动HSCT显示了HRMM的PFS和OS的潜在好处.
- 全基性HSCT提供治愈,但具有高TRM和GVHD风险.
- 新型疗法正在改变MM的治疗环境.
结论:
- 协同自动HSCT仍然是HRMM的重要选择,特别是PFS/OS.
- 协同自动HSCT的最佳作用需要对新兴疗法进行持续评估.
- 在MM治疗决策中,平衡效果与移植风险至关重要.
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