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Blood, 4 June 2009, Vol. 113, No. 23, pp. 6011-6014. Prepublished online as a Blood First Edition Paper on March 23, 2009; DOI 10.1182/blood-2008-12-195388.
TRANSPLANTATION Comparable survival between HIV+ and HIV– non-Hodgkin and Hodgkin lymphoma patients undergoing autologous peripheral blood stem cell transplantation1 Hematology Department, Hospital General Universitario Gregorio Marañon, Madrid, Spain; 2 Hematology Department, Spedali Civili, Brescia, Italy; 3 High Dose Chemotherapy and Cellular Therapies Unit, Centro di Riferimento Oncologico, Aviano, Italy; 4 Clinical Hematology, Institut Catalá d'Oncologia-Hospital Universitario German Trias i Pujol, Badalona, Spain; 5 Biostatistics, European Group for Blood and Marrow Transplantation Lymphoma Working Party, Barcelona, Spain; 6 Hematology Department, Hospital Universitario Marqués de Valdecilla, Universidad de Cantabria, Santander, Spain; 7 Hematology Department, Centre Hospitalier Universitaire Vaudois, Lausane, Switzerland; 8 Hematology Department, Hammersmith Hospital, London, United Kingdom; 9 Hematology Department, Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain; 10 Hematology Department, Ospedale Santo Antonio e Biagio, Alessandria, Italy; 11 Hematology Department, Royal Free Hospital, London, United Kingdom; 12 Hematology Department, Hopital Victor Dupouy, Argenteuil, France; 13 Hematology Department, Hospital Universitario Virgen del Rocio, Sevilla, Spain; 14 Hematology Department, Centre Leon Berard, Lyon, France; 15 Hematology Department, Asklepios Klinik St. Georg, Hamburg, Germany; 16 Hematology Department, Leicester Royal Infirmary, Leicester, United Kingdom; 17 Hematology Department, Cliniques Universitaires St Luc, Brussels, Belgium; 18 Hematology Department, Hopital Augustin-Morvan, Brest, France; 19 Hematology Department, Klinikum Harlaching, Munich, Germany; 20 Hematology Department, Hospital Universitario Virgen de las Nieves, Granada, Spain; 21 Hematology Department, Hospital General Alicante, Alicante, Spain; 22 Hematology Department, Hospital General Universitario Gregorio Marañon, Madrid, Spain; and 23 European Group for Blood and Marrow Transplantation Lymphoma Working Party, Barcelona, Spain
Autologous stem cell transplantation (ASCT) has been successfully used in HIV-related lymphoma (HIV-Ly) patients on highly active antiretroviral therapy. We report the first comparative analysis between HIV-Ly and a matched cohort of HIV– lymphoma patients. This retrospective European Group for Blood and Marrow Transplantation study included 53 patients (66% non-Hodgkin and 34% Hodgkin lymphoma) within each cohort. Both groups were comparable except for the higher proportion of males, mixed-cellularity Hodgkin lymphoma and patients receiving granulocyte colony-stimulating factor before engraftment and a smaller proportion receiving total body irradiation-based conditioning within the HIV-Ly cohort. Incidence of relapse, overall survival, and progression-free survival were similar in both cohorts. A higher nonrelapse mortality within the first year after ASCT was observed in the HIV-Ly group (8% vs 2%), predominantly because of early bacterial infections, although this was not statistically significant and did not influence survival. Thus, within the highly active antiretroviral therapy era, HIV patients should be considered for ASCT according to the same criteria adopted for HIV– lymphoma patients.
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