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Allogeneic STC in Cutaneous T-cell Lymphoma

Studying remission in common variants

Allogeneic stem cell transplantation (SCT) may result in long-term remissions in a subset of patients with advanced cutaneous T-cell lymphoma (CTCL), according to a study of 47 patients with CTCL who underwent allogeneic SCT. Researchers found:

• Overall survival (OS) at 4 years was estimated at 51%

• Progression-free survival (PFS) at 4 years was estimated at 26%.

• No statistical difference was seen in OS in patients who had the common variants Mycosis fungoides (MF) or leukemic Sézary syndrome (SS) nor in patients who had MF with large cell transformation or SS with large cell transformation.

• PFS at 4 years was superior in patients who had SS (52.4%) vs those who did not (9.9%).

• Cumulative incidences of grade 2 to 4 acute graft versus host disease (GVHD) and chronic GVHD were 40% and 28%, respectively.

• Cumulative nonrelapse mortality rate was 16.7% at 2 years.

Citation: Hosing C, Bassett R, Dabaja B, et al. Allogeneic stem cell transplantation in patients with cutaneous lymphoma: Updated results from a single institution. [Published online ahead of print September 28, 2015]. Ann Oncol. doi: 10.1093/annonc/mdv473.