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Hematopoietic stem cell transplantation : overview for general pediatrician

Korean Journal of Pediatrics 2007;50(7):613-621.
Published online July 15, 2007.
Hematopoietic stem cell transplantation : overview for general pediatrician
Tai Ju Hwang
Department of Pediatrics, School of Medicine, Chonnam National University, Gwangju, Korea
전남대학교 의과대학 소아과학교실
Tai Ju Hwang, Email: tjhwang@jnu.ac.kr
Hematopoietic stem cell transplantation (HSCT) has expanded and evolved substantially in the last decades to treat various malignant and nonmalignant diseases. However, the conditioning regimen can lead to transplantation related death by major organ dysfunction, severe infection and bleeding. In the allogeneic setting, graft versus host disease may also develop, making post-transplant management complex. To overcome these problems, new stem cell sources, stem cell mobilizing agents and new skills, nonmyeloablative stem cell transplantation including reduced intensity stem cell transplantation has been introduced in clinical practice, but problems remained so far. Recipients of stem cell transplant may be severely immunocompromised for many months after transplantation. Furthermore, long- term complications (endocrine, metabolic, relapse, second malignancies, etc) can develop. Pediatrician is open called on to participate in the evaluation and consideration of patients for possible transplant and long-term follow-up of HSCT patients. This review is intended as a basic overview of HSCT relevant to general pediatrician.
Key Words: Hematopoietic stem cell transplantation, General pediatrician

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