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The role of autologous stem cell transplantation in peripheral T cell lymphoma: a long-term follow-up single-center experience

  • Malte Roerden
  • Juliane S. WalzEmail author
  • Martin R. Müller
  • Martin Sökler
  • Birgit Federmann
  • Lothar Kanz
  • Wolfgang Bethge
  • Wichard Vogel
Original Article – Clinical Oncology

Abstract

Purpose

Peripheral T cell lymphomas (PTCL) are a rare and heterogeneous group of aggressive non-Hodgkin lymphomas, showing a generally poor prognosis. In this retrospective analysis, we aimed to investigate the impact of autologous stem cell transplantation (autoSCT) in PTCL.

Methods

A retrospective analysis of 58 consecutive unselected PTCL patients aged 21–71 years undergoing autoSCT as first-line consolidation as well as in the relapse setting was performed.

Results

The median follow-up time was 67 months. A 5-year overall survival (OS) of 53% and a 5-year progression-free survival (PFS) after autoSCT of 44% was achieved. The overall relapse rate after autoSCT was 50%. On multivariate analysis, standard baseline characteristics such as age, disease stage and international prognostic index (IPI) score failed to predict outcome in our cohort. First-line treatment with autoSCT was not associated with a benefit in OS when compared to patients receiving autoSCT at relapse. Notably, autoSCT seemed to be a suitable approach even for older transplant-eligible patients (aged ≥ 60 years), with a similar 5-year OS of 49% when compared to younger patients.

Conclusions

Our study suggests that autoSCT can achieve long-term survival in PTCL patients even after relapse and should also be considered for eligible older patients.

Keywords

PTCL T cell lymphoma Non-Hodgkin lymphoma Autologous stem cell transplantation AutoSCT 

Notes

Funding

No Funding was received for this study.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Research involving human participants and/or animals

This article does not contain any studies with human participants or animals performed by any of the authors.

Supplementary material

432_2019_2999_MOESM1_ESM.docx (16 kb)
Supplementary Table S1 Peripheral blood stem cell harvest. CHO(E)P cyclophosphamide, doxorubicin, vincristine, (etoposide), prednisone, VACOP-B etoposide, doxorubicin, cyclophosphamide, vincristine, prednisone, bleomycin, DHAP dexamethasone, high-dose cytarabine, cisplatin, VIPE etoposide, ifosfamide, cisplatin, epirubicin, bw body weight (DOCX 16 kb)

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Hematology, Oncology, Clinical Immunology and RheumatologyUniversity Hospital TübingenTübingenGermany
  2. 2.Department of Pathology and NeuropathologyUniversity Hospital TübingenTübingenGermany

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