Poor outcome of myeloablative conditioned allogeneic bone marrow transplantation for myelofibrosis

Intern Med. 2012;51(10):1183-6. doi: 10.2169/internalmedicine.51.6574. Epub 2012 May 15.

Abstract

Objective: This study retrospectively analyzed clinical outcomes of allogeneic hematopoietic stem cell transplantation (allo-HSCT) for myelofibrosis (MF) in a single institution.

Methods: During the past 20 years, 6 patients with MF have undergone allo-HSCT in our institution. We investigated the clinical characteristics and follow-up course of these patients.

Patients: Median age was 47 years (range, 40-52 years). The median interval between diagnosis and allo-HSCT was 12.5 months (range, 5-97 months).

Results: Among these 6 patients, 4 patients were categorized in the high-risk group according to the International Prognostic Scoring System. All 6 patients received myeloablative conditioning regimens, but most of them eventually died of relapse.

Conclusion: In this small series, allo-HSCT resulted in dismal outcomes. Our experience clearly indicates the need for studies with a larger series of patients to evaluate the efficacy of this modality.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Female
  • Hematopoietic Stem Cell Transplantation*
  • Humans
  • Male
  • Middle Aged
  • Primary Myelofibrosis / therapy*
  • Recurrence
  • Retrospective Studies
  • Risk Factors
  • Transplantation Conditioning
  • Transplantation, Homologous
  • Treatment Outcome