Unusual sites of extraskeletal metastases of Ewing sarcoma after allogeneic hematopoietic stem cell transplantation.

Unusual sites of extraskeletal metastases of Ewing sarcoma after allogeneic hematopoietic stem cell transplantation.
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DOI:
10.1097/mph.0b013e31819146e5
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发表时间:
2009-02
影响因子:
1.2
通讯作者:
Fry, Terry J.
Fry, Terry J.
中科院分区:
医学4区
文献类型:
--
作者:
Capitini, Christian M.;Derdak, Joanne;Hughes, Marybeth S.;Love, Cynthia P.;Baird, Kristin;Mackall, Crystal L.;Fry, Terry J.

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异基因干细胞移植(SCT)治疗实体瘤仍在研究中。我们报告一例转移性、难治性尤文肉瘤患者在接受非清髓性外周血SCT治疗后病情稳定。值得注意的是,患者发生了两个不寻常部位的转移性疾病-脑和小肠。同种异体SCT环境可以改变典型的转移模式,并且可以代表操纵和增强抗肿瘤免疫应答的理想平台。需要进一步的临床试验来评估同种异体SCT对这种疾病的作用。
Allogeneic stem cell transplantation (SCT) for solid tumors remains under investigation. We report a case of extended disease stability after a non-myeloablative peripheral blood SCT for metastatic, refractory Ewing sarcoma. Of note, the patient developed metastatic disease to two unusual sites – the brain and small intestine. The allogeneic SCT environment may alter typical metastatic patterns, and may represent an ideal platform to manipulate and enhance the anti-tumor immune response. Further clinical trials are needed to evaluate the role for allogeneic SCT for this disease.