Patient and transplant characteristics of the 4 patients with donor-derived cancer
Patient . | Diagnosis . | Age at diagnosis, y . | Treatment before transplantation . | Conditioning regimen . | GVHD prophylaxis . | Recipient . | Donor sex/relationship . | Acute GVHD . | Chronic GVHD . | Cancer . | |||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Sex . | Pregnancy . | Grade . | Treatment . | Grade . | Treatment . | Location . | Time after transplantation, y . | Follow-up time interval* . | |||||||
I | CML | 33 | Hydroxyurea, splenectomy | Cy, TBI | TCD, CsA | M | F/sibling | III | ATG, steroids | Ext | CsA, steroids | Oral cavity | 22 | Died, cancer, 6 mo | |
II | SAA | 21 | Androgens | Cy, TBI | MTX | F | 0 | M/sibling | I | CsA, steroids | Ext | CsA, steroids | Oral cavity | 13 | Died, cancer, 8 mo |
III | Fanconi | 4 | Steroids, androgens | Cy | MTX | F | 0 | F/sibling | II | CsA, steroids | Ext | CsA, steroids | Oral cavity | 5 | Died, cancer, 12 mo |
IV | ALL | 43 | Chemotherapy | Cy, VP16, TBI | MTX, CsA | M | M/sibling | II | CsA, steroids | Ext | CsA, steroids | Oral cavity | 7 | Died, cancer, 7 mo |
Patient . | Diagnosis . | Age at diagnosis, y . | Treatment before transplantation . | Conditioning regimen . | GVHD prophylaxis . | Recipient . | Donor sex/relationship . | Acute GVHD . | Chronic GVHD . | Cancer . | |||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Sex . | Pregnancy . | Grade . | Treatment . | Grade . | Treatment . | Location . | Time after transplantation, y . | Follow-up time interval* . | |||||||
I | CML | 33 | Hydroxyurea, splenectomy | Cy, TBI | TCD, CsA | M | F/sibling | III | ATG, steroids | Ext | CsA, steroids | Oral cavity | 22 | Died, cancer, 6 mo | |
II | SAA | 21 | Androgens | Cy, TBI | MTX | F | 0 | M/sibling | I | CsA, steroids | Ext | CsA, steroids | Oral cavity | 13 | Died, cancer, 8 mo |
III | Fanconi | 4 | Steroids, androgens | Cy | MTX | F | 0 | F/sibling | II | CsA, steroids | Ext | CsA, steroids | Oral cavity | 5 | Died, cancer, 12 mo |
IV | ALL | 43 | Chemotherapy | Cy, VP16, TBI | MTX, CsA | M | M/sibling | II | CsA, steroids | Ext | CsA, steroids | Oral cavity | 7 | Died, cancer, 7 mo |
CML indicates chronic myelogenous leukemia; Cy, cyclophosphamide; TBI, total body irradiation; TCD, T-cell depletion; CsA, cyclosporine; ATG, antithymocyte globulin; Ext, extensive; SAA, severe aplastic anemia; MTX, methotrexate; ALL, acute lymphoblastic leukemia; and VP16, vepeside.
Time interval between diagnosis and death.