Successful treatment of progressive NK cell lymphoma with allogeneic peripheral stem cell transplantation followed by early cyclosporine tapering and donor leukocyte infusions

Int J Hematol. 2002 Jul;76(1):94-7. doi: 10.1007/BF02982726.

Abstract

We describe a patient with progressive natural killer (NK) cell lymphoma who was treated successfully with allogeneic peripheral blood stem cell transplantation (allo-PBSCT) followed by early cyclosporine (CsA) tapering and donor leukocyte infusion (DLI). Because the disease showed early resistance to conventional chemoradiotherapy, we performed high-dose chemotherapy followed by allo-PBSCT. After achieving hematologic engraftment, the patient underwent early tapering of CsA and DLI in an attempt to induce a graft-versus-lymphoma effect. Although the disease was in a progressive state at the time of transplantation, complete remission was obtained after allo-PBSCT. As of this report, the patient has been well for more than 2 years.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cyclosporine / therapeutic use*
  • Female
  • Hematopoietic Stem Cell Transplantation*
  • Humans
  • Immunosuppressive Agents / therapeutic use*
  • Killer Cells, Natural* / pathology
  • Leukocyte Transfusion
  • Lymphoma, T-Cell / therapy*
  • Transplantation Conditioning
  • Transplantation, Homologous

Substances

  • Immunosuppressive Agents
  • Cyclosporine