Diagnostic Procedures: Stem Cell Transplant Methods

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DIAGNOSTIC PROCEDURES

Stem Cell Transplant Methods

The different types of stem cell transplants:


autologous - stem cells harvested from self allogeneic - stem cells harvested from donor (following reduced for full intensity therapy) syngeneic - stem cells harvested from identical twin cord blood - stem cells from saved cord blood, from self or donor

About Autologous Stem Cell Transplant (AutoSCT)

Phases:
1. Induction phase - conventional doses of chemo are used to clear the blood of circulating tumor cells and to reduce tumor burden. 2. Mobilization/harvesting phase is the use of growth factor and specific types of chemotherapy agents. This treatment leads to the proliferation and mobilization of stem cells from the bone marrow into the bloodstream.

3. Conditioning phase comes next, and according to some sources about a month after harvesting. 4. Engraftment phase is the process by which the stem cells are given back to the patient to reconstitute the immune system.

Potential Advantages of Auto Transplants:


High dose therapies made possible by prior harvesting and subsequent engraftment may: decrease risk of disease recurrence and/or curing aggressive component of the disease. produce a durable remission.

Potential Problems with Auto Transplants:


Engrafted cells can be contaminated with disease (compared to allogeneic SCT)

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