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Previous Article | Table of Contents | Next Article 
Autologous peripheral hematopoietic stem cell transplantation restores
hematopoietic function following marrow ablative therapy
A Kessinger, JO Armitage, JD Landmark, DM Smith and DD Weisenburger
Department of Internal Medicine, University of Nebraska Medical Center,
Omaha 68105.
From ten patients with advanced malignant disease involving the bone
marrow, autologous hematopoietic stem cells were collected from the
peripheral blood during eight four-hour pheresis procedures and
cryopreserved. No manipulations to increase the number of stem cells
circulating in the blood were used during the collections. Following marrow
ablative chemotherapy or chemoradiotherapy, the autologous cells were
thawed and infused intravenously (IV). WBCs reappeared in the circulation
at a median of eight days (range seven to 11 days) after stem cell
infusion. Two patients died early, whereas the other eight reached normal
numbers of circulating granulocytes that have persisted for up to greater
than 20 months. These eight patients became independent of RBC transfusions
(hemoglobin concentration greater than 10 g/dL) at a median of 27 days
(range 11 to 58 days) after transplantation. One patient received platelet
transfusions for counts less than 50 x 109)/L, one patient developed a
clinical picture of idiopathic thrombocytopenic purpura, and six patients
maintained a platelet count greater than 20 x 10(9)/L at a median of 23
days (range 14 to 25 days) following stem cell infusion. This technique
allows patients ineligible for autologous bone marrow transplantation due
to unacceptable anesthetic risks, prior pelvic irradiation, or bone marrow
metastases to receive marrow ablative therapy.
Volume 71,
Issue 3,
pp. 723-727,
03/01/1988
Copyright © 1988 by The American Society of Hematology

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