Induction of complete remission of advanced stage mycosis fungoides by allogeneic hematopoietic stem cell transplantation

J Am Acad Dermatol. 2002 Jul;47(1):140-5. doi: 10.1067/mjd.2002.122188.

Abstract

Advanced mycosis fungoides (MF) is incurable with conventional treatments. High-dose chemoradiotherapy with autologous bone marrow transplantation has induced remissions in a small number of patients with MF, but this modality is limited by a high relapse rate. We report induction of complete remission in a 37-year-old woman with rapidly progressive stage IV MF with allogeneic stem cell transplantation (Allo SCT). She remains in continuous complete remission 2 years after transplant. Allo SCT for MF is theoretically attractive, because there is no contamination of the graft by malignant cells, and because of the possibility of graft-versus-tumor effect. Although the results in this patient are encouraging, more patients and longer follow-up are needed to define the usefulness of Allo SCT in the treatment of MF.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Biopsy, Needle
  • Combined Modality Therapy
  • Female
  • Follow-Up Studies
  • Hematopoietic Stem Cell Transplantation / methods*
  • Humans
  • Immunohistochemistry
  • Mycosis Fungoides / pathology*
  • Mycosis Fungoides / physiopathology
  • Mycosis Fungoides / therapy*
  • Neoplasm Staging
  • Remission Induction
  • Skin Neoplasms / pathology*
  • Skin Neoplasms / physiopathology
  • Skin Neoplasms / therapy*
  • Time Factors
  • Transplantation, Homologous
  • Treatment Outcome
  • Whole-Body Irradiation / methods