Subsequent malignancies after long-term follow-up of pediatric hematopoietic stem cell transplantation Neoplasias malignas secundarias después de un trasplante de progenitores hematopoyéticos en edad pediátrica
Sisinni, Luisa (Hospital de la Santa Creu i Sant Pau (Barcelona, Catalunya))
Gich, Ignasi (Institut d'Investigació Biomèdica Sant Pau)
Torrent, Montse (Institut d'Investigació Biomèdica Sant Pau)
Badell Serra, Isabel (Institut d'Investigació Biomèdica Sant Pau)
Universitat Autònoma de Barcelona

Date:	2019
Abstract:	Survival after hematopoietic stem cell transplantation has improved dramatically in recent years. Unfortunately, there is an increased risk of subsequent malignant neoplasms (SMN) in this population and this represents a significant cause of late mortality. In this study, we analyzed the incidence of SMN and the associated risk factors in patients referred at a pediatric age for hematopoietic stem cell transplantation (allogeneic or autologous) in our center. We observed 19 cases of SMN in a cohort of 371 patients, with a cumulative incidence of 6, 12, and 36% at 15, 20, and 30 years of follow-up, respectively. The solid tumors were the most prevalent malignancies. The risk was significantly higher than expected in the general population for each tumor type and in the different age ranges (p<. 0001). Radiotherapy and chronic GvHD were the main risk factors for the development of SMN in our series. We observed a high incidence of SMN among hematopoietic stem cell transplantation survivors highlighting the need for life-long surveillance.
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Language:	Castellà
Document:	Article ; recerca ; Versió publicada
Published in:	Anales de pediatría, Vol. 90 Núm. 3 (marzo 2019) , p. 157-164, ISSN 1695-9531

DOI: 10.1016/j.anpedi.2018.05.023
PMID: 30195711

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
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