G. Santini et al., MOBILIZATION TRANSPLANTATION OF PERIPHERAL-BLOOD PROGENITOR CELLS FORAGGRESSIVE NON-HODGKINS-LYMPHOMA WITH MARROW INVOLVEMENT/, Leukemia, 10, 1996, pp. 88-91
Thirty-five aggressive non-Hodgkin's lymphomas (NHL) with marrow invol
vement received high-dose cyclophosphamide (7 g/m(2)) and G-CSF in ord
er to collect peripheral blood progenitor cells (PBPC). Fourteen patie
nts were in partial remission, 16 patients were in relapse ('sensitive
', 12; 'resistant', 4) and five patients were refractory to convention
al treatment. A good yield of PBPC was obtained in 30 patients, while
a low number of CD34(+) cells and of CFU-GM was seen in two cases. Two
patients entered progression and one patient died. Thirty patients un
derwent PBPC autografting. Twenty-nine out of 35 (83%) patients entere
d complete remission (CR). Two patients died in CR of infection follow
ing marrow aplasia 3 and 6 months after autografting. At 3 years the p
robability of survival and disease-free survival (DFS) are 62 and 51%,
respectively.