PMID- 32713191 OWN - NLM STAT- MEDLINE DCOM- 20210709 LR - 20210709 IS - 1555-3892 (Electronic) IS - 0963-6897 (Print) IS - 0963-6897 (Linking) VI - 29 DP - 2020 Jan-Dec TI - A Case of Successful Allogeneic Hematopoietic Stem Cell Transplantation for HHV8-Positive Castleman's Disease with a Review of the Literature. PG - 963689720943571 LID - 10.1177/0963689720943571 [doi] LID - 0963689720943571 AB - OBJECTIVE: To investigate the long-term clinical efficacy of allogeneic hematopoietic stem cell transplantation (allo-HSCT) for patients with human herpes virus 8 (HHV8)-positive multicentric Castleman's disease (MCD). METHODS: A 17-year-old female patient was admitted to Henan Provincial People's Hospital with the complaint of febrile for half a month, headache, and enlarged superficial lymph nodes on October 5, 2010. HHV8-positive mixed cellular Castleman's disease was found by pathological diagnosis of lymph nodes biopsy. After the administration of CHOP and Hyper-CVAD-B, the patient was still febrile, we administrated the followed COAP, two courses of VAD(Vincristine, Adriamycin, Dexamethasone), the patient received CR. Six months after CR, the patient relapsed, we administrated VAD and two courses of bortezomide+dexamethasone chemotherapy, and then the patient received PR. After that, the patient underwent allo-HSCT from his human leukocyte antigen (HLA)-matched unrelated donor after conditioning with Bu/Cy+Etoposide+Smoustin.graft-vs-host disease (GVHD) prophylaxis, which consisted of ATG (7.5 mg/kg, qd, ivdrip) from d-5 to d-2, cyclosporine (3 mg/kg/d, qd, ivdrip, for 24 h) started from day-1, MMF(0.5 g, tid, po.) started from day+1 to +28, and MTX (15 mg per time, ivdrip, d+1,+4,+7,+11). She received 3.5x10(6)/L CD34(+)cells and 8.1x10(8)/LMNC. RESULTS: Granulocyte engraftment occurred on day+12, platelet engrafted on day+14. Bone marrow biopsy showed normalization of trilineage hematopoiesis on day+33, chimerism: 97.6%. The transplantation was successful and followed up for 7 years with CR. CONCLUSION: Allo-HSCT might cure patients with refractory/relapsed HHV8+ MCD. FAU - Wang, Zhen AU - Wang Z AUID- ORCID: 0000-0002-5963-242X AD - Department of Hematology, Henan University People's Hospital, School of Clinical Medicine, Henan University, Zhengzhou, Henan, PR China. AD - Department of Hematology, Henan Provincial People's Hospital and Zhengzhou University People's Hospital Zhengzhou, PR China. AD - Both the authors contributed equally to this article. FAU - Yang, Shiwei AU - Yang S AD - Institute of Hematology Henan Provincial People's Hospital, Zhengzhou, Henan, PR China. AD - Henan Key Laboratory of Stem Cell Differentiation and Modification, Henan Provincial People's Hospital, Zhengzhou, Henan, PR China. AD - Both the authors contributed equally to this article. FAU - Zhu, Zunmin AU - Zhu Z AD - Department of Hematology, Henan Provincial People's Hospital and Zhengzhou University People's Hospital Zhengzhou, PR China. AD - Institute of Hematology Henan Provincial People's Hospital, Zhengzhou, Henan, PR China. AD - Henan Key Laboratory of Stem Cell Differentiation and Modification, Henan Provincial People's Hospital, Zhengzhou, Henan, PR China. FAU - Lei, Pingchong AU - Lei P AD - Department of Hematology, Henan Provincial People's Hospital and Zhengzhou University People's Hospital Zhengzhou, PR China. FAU - Yang, Jing AU - Yang J AD - Department of Hematology, Henan Provincial People's Hospital and Zhengzhou University People's Hospital Zhengzhou, PR China. FAU - Zhang, Ping AU - Zhang P AD - Department of Hematology, Henan Provincial People's Hospital and Zhengzhou University People's Hospital Zhengzhou, PR China. FAU - Sun, Kai AU - Sun K AD - Department of Hematology, Henan Provincial People's Hospital and Zhengzhou University People's Hospital Zhengzhou, PR China. LA - eng PT - Case Reports PT - Letter PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - Cell Transplant JT - Cell transplantation JID - 9208854 SB - IM MH - Adolescent MH - Castleman Disease/pathology/*therapy/*virology MH - Female MH - Hematopoietic Stem Cell Transplantation/*methods MH - Herpesvirus 8, Human/*isolation & purification MH - Humans MH - Sarcoma, Kaposi/pathology/*therapy/virology MH - Transplantation Conditioning/methods MH - Transplantation, Homologous/methods PMC - PMC7563820 OTO - NOTNLM OT - Castleman's disease OT - allogeneic OT - hematopoietic stem cell OT - multicentric type OT - transplantation COIS- Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2020/07/28 06:00 MHDA- 2021/07/10 06:00 PMCR- 2020/07/27 CRDT- 2020/07/28 06:00 PHST- 2020/07/28 06:00 [entrez] PHST- 2020/07/28 06:00 [pubmed] PHST- 2021/07/10 06:00 [medline] PHST- 2020/07/27 00:00 [pmc-release] AID - 10.1177_0963689720943571 [pii] AID - 10.1177/0963689720943571 [doi] PST - ppublish SO - Cell Transplant. 2020 Jan-Dec;29:963689720943571. doi: 10.1177/0963689720943571.