Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Second Malignancies Post-Auto-HCT in Hodgkin Lymphoma

Biol Blood Marrow Transplant; ePub 2017 Apr 4; Pingali, et al

Second malignancies after autologous hematopoietic transplantation (auto-HCT) are more common in Hodgkin lymphoma patients whose diagnosis occurs after age 55, according to a retrospective analysis involving 310 individuals.

Participants had relapsed/refractory Hodgkin lymphoma and underwent auto-HCT between 1996 and 2010 with carmustine, etoposide, cytarabine, and melphalan conditioning therapy. Investigators looked at outcomes by age. Among the results:

  • Progression free survival was similar in patients regardless of age at a median of 80 months of follow-up.
  • Overall mortality odds were more than twice as high in those >55 years of age.
  • This contingent was nearly 4 times more likely to have second malignancies.

Citation:

Pingali S, Saliba R, Anderlini P, et al. Age over 55 years at diagnosis increases risk of second malignancies after auto-transplantation for Hodgkin's lymphoma patients. [Published online ahead of print April 4, 2017]. Biol Blood Marrow Transplant. doi:10.1016/j.bbmt.2017.03.030.