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Access through your institution Buy or subscribe Splenectomy before allo-SCT is usually performed in some individuals diagnosed with lymphoma and myelofibrosis.1, 2 However, much is still
unknown regarding the impact of splenectomy on the outcome of allo-SCT. Previous work has suggested an association between acute and chronic GVHD and splenectomy prior to allo-SCT.3, 4
Conversely, more recent work failed to see this correlation and instead showed an association between splenectomy and relapse after CML.5, 6 In a recent ‘Center for International Blood and
Marrow Transplant Research’ (CIBMTR) report, the authors analyzed the effects of spleen status on engraftment and other early outcomes after allo-SCT.7 In this material, over 9000 patients
were transplanted with myeloablative conditioning (MAC) and the authors showed a decrease in time of neutrophil and platelet engraftment in patients with splenectomy compared to individuals
with normal spleen status. However, when analyzing other complications or the OS of the patient cohort no difference was observed between individuals with and those without a spleen. This is
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during checkout ADDITIONAL ACCESS OPTIONS: * Log in * Learn about institutional subscriptions * Read our FAQs * Contact customer support REFERENCES * Thieblemont C, Davi F, Noguera ME,
Briere J . Non-MALT marginal zone lymphoma. _Curr Opin Hematol_ 2011; 18: 273–279. Article Google Scholar * McLornan DP, Mead AJ, Jackson G, Harrison CN . Allogeneic stem cell
transplantation for myelofibrosis in 2012. _Br J Haematol 2012_ 157: 413–425. * Michallet M, Corront B, Bosson JL, Molina L, Peissel B, Maraninchi D _et al_. Role of splenectomy in incidence
and severity of acute graft-versus-host disease: a multicenter study of 157 patients. _Bone Marrow Transplant_ 1991; 8: 13–17. CAS PubMed Google Scholar * Bostrom L, Ringden O, Jacobsen
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splenectomy. _Transplantation_ 1990; 49: 1100–1105. Article CAS Google Scholar * Kalhs P, Schwarzinger I, Anderson G, Mori M, Clift RA, Storb R _et al_. A retrospective analysis of the
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86: 2028–2032. CAS PubMed Google Scholar * Robin M, Tabrizi R, Mohty M, Furst S, Michallet M, Bay JO _et al_. Allogeneic haematopoietic stem cell transplantation for myelofibrosis: a
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MA, Lazarus HM, Marks DI _et al_. Effects of spleen status on early outcomes after hematopoietic cell transplantation. _Bone Marrow Transplant_ 2013; 48: 825–831. Article CAS Google
Scholar * Uhlin M, Wikell H, Sundin M, Blennow O, Maeurer M, Ringden O _et al_. Risk factors for Epstein Barr virus related post-transplant lymphoproliferative disease after allogeneic
hematopoietic stem cell transplantation. _Haematologica_, (e-pub ahead of print 20 September 2013). * Abedi MR, Linde A, Christensson B, Mackett M, Hammarstrom L, Smith CI . Preventive
effect of IgG from EBV-seropositive donors on the development of human lympho-proliferative disease in SCID mice. _Int J Cancer_ 1997; 71: 624–629. Article CAS Google Scholar * Mauri C,
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Human CD5 promotes B-cell survival through stimulation of autocrine IL-10 production. _Blood_ 2002; 100: 4537–4543. Article CAS Google Scholar Download references AUTHOR INFORMATION
AUTHORS AND AFFILIATIONS * Department of Laboratory Medicine, Therapeutic Immunology Unit, Karolinska Institutet, Huddinge, Sweden M Uhlin, M M Norström, J Mattsson & M Remberger *
Centre for Allogeneic Stem Cell Transplantation, Karolinska University Hospital, Huddinge, Sweden M Uhlin, M M Norström, J Mattsson & M Remberger * Clinical Immunology and Transfusion
Medicine, Karolinska University Hospital, Huddinge, Sweden M Uhlin Authors * M Uhlin View author publications You can also search for this author inPubMed Google Scholar * M M Norström View
author publications You can also search for this author inPubMed Google Scholar * J Mattsson View author publications You can also search for this author inPubMed Google Scholar * M
Remberger View author publications You can also search for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to M Uhlin. ETHICS DECLARATIONS COMPETING INTERESTS The
authors declare no conflict of interest. RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Uhlin, M., Norström, M., Mattsson, J. _et al._ Splenectomy prior
to allogeneic hematopoietic SCT increases the risk of post-transplant lymphoproliferative disease. _Bone Marrow Transplant_ 49, 463–464 (2014). https://doi.org/10.1038/bmt.2013.201 Download
citation * Published: 16 December 2013 * Issue Date: March 2014 * DOI: https://doi.org/10.1038/bmt.2013.201 SHARE THIS ARTICLE Anyone you share the following link with will be able to read
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