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autologous blood and marrow transplantation - Blog Science ...

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348 Chapter 6: Breast Cancer<br />

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2 3 4 5<br />

Years After Transplant<br />

BM K-19PCR neg (n=15)<br />

BM K-19PCR pos (n=24)<br />

BM (n=34)<br />

PB (n=78)<br />

2 3 4 5 6 7 8<br />

Years After Transplant<br />

Figure 2. Negative prognostic factors for patients with stage II <strong>and</strong> III noninflammatory<br />

breast cancer undergoing high-dose therapy <strong>and</strong> <strong>autologous</strong> stem cell transplant in the adjuvant<br />

setting. A: presence or absence of K19 in the bone <strong>marrow</strong>; B: source of stem cells, bone<br />

<strong>marrow</strong> vs. peripheral <strong>blood</strong>.<br />

Although not previously described as a potential negative prognostic indicator,<br />

it is of concern that patients receiving peripheral <strong>blood</strong> stem cells in the adjuvant<br />

setting had a worse outcome than patients receiving <strong>autologous</strong> bone <strong>marrow</strong>. This<br />

finding was not demonstrated in patients with metastatic breast cancer, suggesting<br />

that the source of stem cells may not have been the only factor involved. Other

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