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Practical Aspects of Allogeneic Hematopoietic Cell Transplantation for Patients with Poor-Risk Chronic Lymphocytic Leukemia
Author(s) -
Julio Delgado,
Rafael F. Duarte
Publication year - 2011
Publication title -
the scientific world journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.453
H-Index - 93
eISSN - 2356-6140
pISSN - 1537-744X
DOI - 10.1100/tsw.2011.21
Subject(s) - hematopoietic cell , chronic lymphocytic leukemia , medicine , transplantation , conditioning regimen , hematopoietic stem cell transplantation , leukemia , clinical trial , regimen , immunology , disease , oncology , haematopoiesis , intensive care medicine , stem cell , biology , genetics
Allogeneic hematopoietic cell transplantation has become a viable option for younger patients with poor-risk chronic lymphocytic leukemia. The results obtained with either conventional or reduced-intensity conditioning regimens have been recently evaluated and compared with alternative nontransplant strategies. This manuscript deals with practical aspects of the procedure, including patient and donor selection, conditioning regimen, GVHD prophylaxis, disease monitoring, infectious and noninfectious complications, and timing of the procedure. Finally, we speculate on how we could improve the results obtained with the procedure and new advances currently in clinical trials.

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