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Risk of acute myeloid leukemia and myelodysplastic syndrome after autotransplants for lymphomas and plasma cell myeloma

  • Tomas Radivoyevitch
  • , Robert M. Dean
  • , Bronwen E. Shaw
  • , Ruta Brazauskas
  • , Heather R. Tecca
  • , Remco J. Molenaar
  • , Minoo Battiwalla
  • , Bipin N. Savani
  • , Mary E.D. Flowers
  • , Kenneth R. Cooke
  • , Betty K. Hamilton
  • , Matt Kalaycio
  • , Jaroslaw P. Maciejewski
  • , Ibrahim Ahmed
  • , Görgün Akpek
  • , Ashish Bajel
  • , David Buchbinder
  • , Jean Yves Cahn
  • , Anita D'Souza
  • , Andrew Daly
  • Zachariah DeFilipp, Siddhartha Ganguly, Mehdi Hamadani, Robert J. Hayashi, Peiman Hematti, Yoshihiro Inamoto, Nandita Khera, Tamila Kindwall-Keller, Heather Landau, Hillard Lazarus, Navneet S. Majhail, David I. Marks, Richard F. Olsson, Sachiko Seo, Amir Steinberg, Basem M. William, Baldeep Wirk, Jean A. Yared, Mahmoud Aljurf, Muneer H. Abidi, Heather Allewelt, Amer Beitinjaneh, Rachel Cook, Robert F. Cornell, Joseph W. Fay, Gregory Hale, Jennifer Holter Chakrabarty, Sonata Jodele, Kimberly A. Kasow, Anuj Mahindra, Adriana K. Malone, Uday Popat, J. Douglas Rizzo, Harry C. Schouten, Anne B. Warwick, William A. Wood, Mikkael A. Sekeres, Mark R. Litzow, Robert P. Gale, Shahrukh K. Hashmi

研究成果: ジャーナルへの寄稿 › 学術論文 › 査読

抄録

Background: Exposures to DNA-damaging drugs and ionizing radiations increase risks of acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS). Methods: 9028 recipients of hematopoietic cell autotransplants (1995–2010) for Hodgkin lymphoma (HL; n = 916), non-Hodgkin lymphoma (NHL; n = 3546) and plasma cell myeloma (PCM; n = 4566), reported to the CIBMTR, were analyzed for risk of subsequent AML or MDS. Results: 335 MDS/AML cases were diagnosed posttransplant (3.7%). Variables associated with an increased risk for AML or MDS in multivariate analyses were: (1) conditioning with total body radiation versus chemotherapy alone for HL (HR = 4.0; 95% confidence interval [1.4, 11.6]) and NHL (HR = 2.5 [1.1, 2.5]); (2) ≥3 versus 1 line of chemotherapy for NHL (HR = 1.9 [1.3, 2.8]); and (3) subjects with NHL transplanted in 2005–2010 versus 1995–1999 (HR = 2.1 [1.5, 3.1]). Using Surveillance, Epidemiology and End Results (SEER) data, we found risks for AML/MDS in HL, NHL and PCM to be 5–10 times the background rate. In contrast, relative risks were 10–50 for AML and approximately 100 for MDS in the autotransplant cohort. Conclusions: There are substantial risks of AML and MDS after autotransplants for HL, NHL and PCM.

本文言語英語
ページ(範囲)130-136
ページ数7
ジャーナルLeukemia Research
巻74
DOI
出版ステータス出版済み - 11-2018
外部発表はい

UN SDG

この成果は、次の持続可能な開発目標に貢献しています

  1. SDG 3 - すべての人に健康と福祉を
    SDG 3 すべての人に健康と福祉を

All Science Journal Classification (ASJC) codes

  • 血液学
  • 腫瘍学
  • 癌研究

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