Specific Adoptive Cellular Immunotherapy in Allogeneic Stem Cell Transplantation

2017 ◽  
Vol 40 (11) ◽  
pp. 691-696
Author(s):  
Stefan Audehm ◽  
Angela M. Krackhardt
2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Stephan Zaenker ◽  
Stefan Schweyer ◽  
Justin Hasenkamp ◽  
Lorenz Truemper ◽  
Gerald Wulf

Granulocytic sarcoma (GS) represents a rare type of extramedullar manifestation from the acute myeloid leukaemia (AML). We report the case of a patient with recurrences of AML M4eo leukaemia in the uterus and the small intestine at 3 and 5 years, respectively, after matched related peripheral blood stem cell transplantation (PBSCT). The patient underwent the withdrawal of immunosuppression, hysterectomy, and local irradiation at first relapse, as well as systemic chemotherapy and donor lymphocyte infusions at second recurrence, inducing a second and third complete remission, respectively. At year six after transplantation, the patient experienced disease progression by meningeosis leukaemia to which she succumbed despite intrathecal chemotherapy. Following allogeneic stem cell transplantation, awareness for atypical manifestations of granulocytic sarcoma appears prudent, the cellular immunotherapy should aim at immunological disease control.


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