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A Guide to Bone Marrow Transplantation (Paperback, Softcover reprint of the original 1st ed. 1988)
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Discovery Miles 27 700
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A Guide to Bone Marrow Transplantation (Paperback, Softcover reprint of the original 1st ed. 1988)
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In the late 1940s investigators observed that mice given
supralethai doses of total body irradiation were protected by
infusion of viable spleen or marrow cells following irradiation,
and that this was accomplished by hemopoietic reconsti tution with
donor cells as proven using genetic markers. If a similar approach
could be applied to humans, it should be possible to treat leukemia
patients with any dose of chemoradiotherapy as far as nonmarrow
toxicity permitted, and then rescue them by marrow transplantation.
Early clinical attempts were gen erally unsuccessful, mostly due to
a lack of knowledge of histocompatibility antigens and appropriate
supportive care. These areas developed rather quickly during the
1960s, and for almost two decades now clinical marrow transplan
tation has been carried out with increasing success. After
initially using only bone marrow from HLA indentical siblings, the
field has expanded rapidly to incorporate HLA nonidentical related
donors, and recently even marrow from unrelated volunteer donors.
Furthermore, since for numerous patients who oth erwise could
benefit from transplantation a donor cannot be identified, there
has been a growing interest in using the patient's own (autologous)
bone marrow. Our understanding of the principles of transplantation
and our knowledge of the potential risks and benefits have quickly
grown. At times it is difficult, however, to decide what is the
best option for a given patient."
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