Výsledky vysokodávkované chemoterapie s podporou periferních kmenových buněk u pacientůs mnohočetným myelomem: zkušenosti centra. Srovnání jednotlivých léčebných postupů

The submitted thesis is based on comparison of therapeutical effectivity of two different methods using in multiple myeloma patients for therapy. The best therapy seems to be single or tandem autologous stem cell transplantation ASCT with stimulation and separation of periferal blood stem cells (PBS...

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Bibliographic Details
Main Author: Mecl, Jan
Other Authors: Špička, Ivan
Format: Dissertation
Language:Czech
Published: 2008
Online Access:http://www.nusl.cz/ntk/nusl-294003
Description
Summary:The submitted thesis is based on comparison of therapeutical effectivity of two different methods using in multiple myeloma patients for therapy. The best therapy seems to be single or tandem autologous stem cell transplantation ASCT with stimulation and separation of periferal blood stem cells (PBSCs). The stimulation could be done by CFA (cyclofosfamid) or cytostatik combinaňtion, e.g. IVE (ifosfamide, vepeside, epirubicine) in combination with G - CSF (granulocyte - colony - stimulating factor). The question which is not answered is which one of those methods is more effective. And which one of single or tandem ASCT is more profitable if any. The goal of the study is to compare two different methods of stimulation and separation of PBSCs (CFA and IVE). I compare the effectivity from a viewpoint of breeding PBSCs and also time consuming of the separation meňthods. Nobody has done this comparison before us. To separate PBSCs was used COBE Spectra apheresis systém. Spectra is efficient to separate the whole blood into its components. The group for my study were 167 patients with Multiple Myeloma. Part was stimulated with CFA the other part with IVE. In every one of those groups we compare the number of PBSCs represent by CD34+ cells, type and period of several separation methods and also differences between...