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TRANSPLANT INFORMATION CENTER

Introduction

As the webmaster of http://aplasticcentral.com , I am constantly asked for my opinion on whether or not a Bone Marrow Transplant is a wise treatment choice for Aplastic Anemia and similar autoimmune diseases. Although I have very strong personal opinions on the subject, I will leave that for another area.  This page is designed to be a one stop resource for people who are looking for any information they can find about transplants. It includes a links section (at the very end) and in reverse chronological order, everything I have been able to find on transplants; their success, their failures, notes from survivors, etc.  I hope you find it useful in helping you answer your questions.

From http://www.infoaging.org/b-stem-8-r-marr.html

Work at the Fred Hutchinson Cancer Research Center in Seattle looked at the clinical application of stem cell transplants. Stem cell transplants are employed for patients with a variety of cancers, but they are not easy for patients to tolerate and can cause many adverse effects. Patients typically undergo total body irradiation and high dose chemotherapy to eradicate their cancers before they receive the stem cell transplants. This is toxic and especially hard for older patients to tolerate. The Seattle researchers used lower doses of radiation and chemotherapy and then gave the patients the stem cell transplants. Included in the study were 45 patients with an average age of 56 who were suffering from such diseases as acute and chronic leukemia, multiple myeloma and non-Hodgkin's lymphoma. They were followed for over a year. Survival for those with chronic leukemia was about 66%. The success rate led the researchers to conclude that the high dose chemotherapy and radiation might not be the cause of the eradication of the cancer, but that in fact the new population of stem cells might also be contributing to the elimination of the remaining cancer cells. These more tolerable stem cell treatments are called mini-transplantations, and these initial results are promising enough that research will continue in this area.

Updated and reviewed: April 24, 2003

http://aplasticcentral.com/bmt_survival_rates.htm

Bone Marrow Transplant Survival Rates* 

 
NMDP Transplant Outcomes for Non-Leukemias

Disease
Severe Aplastic Anemia
Myelodysplastic & Related Syndromes
Non-Hodgkin's Lymphoma
Other Non-Malignant Diseases
# of
Transplants

381
895
490
657
Kaplan-Meier
5-Year Survival*

40% ± 5%
28% ± 3%
20% ± 5%
44% ± 4%
June 2001 *with 95% Confidence Interval

*Source = National Marrow Donor Program Web Page

 http://www.marrow.org/MEDICAL/disease_outcome_data.html

Also please realize this includes exact match siblings that are supposedly 90% successful so the odds for surviving a MUD (Matched Unrelated Donor) for more than a few years are much worse!  You don't die from the transplant but from Graft vs. Host Disease.

Transplant Links 

http://www.infoaging.org/b-stem-8-r-marr.html
http://aplasticcentral.com/bmt_survival_rates.htm
WIP 11/19/03
 
 
 
 
 
 
 
 

 

We are not medical professionals and bear no responsibility for the information presented at this site. 
This site is strictly a forum for the free exchange of information about Aplastic Anemia
Please contact your caretakers before using any of the information presented or linked.