Discussion on the indication of allogeneic stem cell transplantation for advanced cutaneous T cell lymphomas

Int J Hematol. 2019 Oct;110(4):406-410. doi: 10.1007/s12185-019-02707-w. Epub 2019 Jul 17.

Abstract

Advanced cutaneous T cell lymphoma (CTCL) patients have a dismal prognosis, especially those relapsing or progressing after systemic therapy. No curative therapies are available, but some new agents have prolonged disease-free survival time with a good toxicity profile. Allogeneic stem cell transplantation (allo-SCT) offers the longest disease-free survival, potentially representing the best therapeutic option for eligible patients. In the present article, we discuss current evidence about allo-SCT for CTCL patients, timing, and new therapeutic options before allo-SCT, taking into account some considerations that may impact clinical outcome.

Keywords: Allogeneic hematopoietic transplantation; Cutaneous T cell lymphoma; Mycosis fungoide; Sézary syndrome.

Publication types

  • Review

MeSH terms

  • Disease-Free Survival
  • Evidence-Based Medicine
  • Hematopoietic Stem Cell Transplantation*
  • Humans
  • Lymphoma, T-Cell / mortality
  • Lymphoma, T-Cell / therapy*
  • Mycosis Fungoides
  • Neoplasm Recurrence, Local
  • Patient Selection
  • Sezary Syndrome
  • Skin Neoplasms / mortality
  • Skin Neoplasms / surgery
  • Skin Neoplasms / therapy*
  • Transplantation Conditioning / methods
  • Transplantation, Homologous