The use of an expanded circulating hematopoietic progenitor cell pool associated with bone marrow fibrosis for the support of autologous transplantation in igd multiple myeloma


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ABSTRACT Leukoerythroblastosis and myelofibrosis were observed at presentation in a patient with IgD myeloma. Interestingly, a 1000-fold increase in peripheral blood progenitor cells (PBPC)


was found in the steady state without signs of any underlying myeloproliferative disorder. The myeloma was resistant to conventional therapy. The expanded PBPC were collected in the steady


state and used to support two consecutive myeloablative courses. A complete remission of the myeloma was achieved, with resolution of myelofibrosis. Furthermore, the unprimed PBPC expanded


as a result of myelofibrosis, provided a sustained hematopoietic reconstitution. This indicated that their hematopoietic potential was equivalent to that of PBPC mobilized by chemotherapy or


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AFFILIATIONS * Servicio de Hematología, Hospital Universitario 12 de Octubre, Madrid, Spain J de la Serna, R Bornstein & J-J Lahuerta-Palacios Authors * J de la Serna View author


publications You can also search for this author inPubMed Google Scholar * R Bornstein View author publications You can also search for this author inPubMed Google Scholar * J-J


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la Serna, J., Bornstein, R. & Lahuerta-Palacios, JJ. The use of an expanded circulating hematopoietic progenitor cell pool associated with bone marrow fibrosis for the support of


autologous transplantation in IgD multiple myeloma. _Bone Marrow Transplant_ 19, 1033–1036 (1997). https://doi.org/10.1038/sj.bmt.1700784 Download citation * Received: 14 October 1996 *


Accepted: 02 February 1997 * Issue Date: 01 May 1997 * DOI: https://doi.org/10.1038/sj.bmt.1700784 SHARE THIS ARTICLE Anyone you share the following link with will be able to read this


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KEYWORDS * IgD myeloma * myelofibrosis * peripheral blood stem cell transplantation