High-dose therapy and autologous stem cell transplantation for children with HIV-associated non-Hodgkin lymphoma

Pediatr Blood Cancer. 2007 Dec;49(7):984-7. doi: 10.1002/pbc.20900.

Abstract

In contrast to adults, autologous stem cell transplantation (ASCT) as part of the salvage strategy after high-dose chemo/radiotherapy in human immunodeficiency virus (HIV) related Non-Hodgkin lymphoma (NHL) is not yet established for children. We report on a 13-year patient with congenital HIV infection and refractory Burkitt lymphoma, who was successfully treated by high-dose therapy (HDT) including rituximab followed by ASCT. After 26 months follow-up the patient remains in complete remission and his HIV parameters have normalized with continued highly active antiretroviral therapy (HAART). HIV infection may no longer exclude children from ASCT as part of salvage therapy.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Antiretroviral Therapy, Highly Active / methods
  • Burkitt Lymphoma / complications
  • Burkitt Lymphoma / therapy*
  • Dose-Response Relationship, Drug
  • Follow-Up Studies
  • HIV Infections / complications
  • HIV Infections / drug therapy
  • Hematopoietic Stem Cell Transplantation*
  • Humans
  • Lymphoma, AIDS-Related / complications
  • Lymphoma, AIDS-Related / therapy*
  • Male
  • Recurrence
  • Remission Induction
  • Salvage Therapy
  • Transplantation Conditioning*
  • Transplantation, Autologous
  • Treatment Outcome