In what situations is a bone marrow transplant considered to treat mantle cell lymphoma?

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JiaRuanMDPhD (Physician - Oncology - Hematology/Oncology (Verified) ) - 08 / 04 / 2012

Both autologous (from self) and allogeneic (from others) stem cell transplant (SCT) have been used in mantle cell lymphoma. Autologous transplant is often considered as a consolidation measure for patients younger than 65 years of age who have achieved a good response with frontline chemotherapy-based regimen. Data from European MCL registry and studies in US have shown that autologous SCT can maintain an additional 2-3 years of remission following frontline treatment such as R-CHOP. A majority of patients, however, will eventually relapse from their disease following autologous SCT. Allogeneic SCT are generally considered for patients with HLA-matched donors who have relapsed diseases. Given the significant treatment-related toxic side effects associated with bone marrow transplant, consultation with an established bone marrow transplant group with a clinical focus on lymphoma should be encouraged.
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