francesco lanza- uo ematologia- ravenna · 24 304 (67%; 20% allogeneic), solid tumors 1516 (4%; 3%...

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Discutendo di trapianto di cellule staminali allogeniche Francesco Lanza- UO Ematologia- Ravenna

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Page 1: Francesco Lanza- UO Ematologia- Ravenna · 24 304 (67%; 20% allogeneic), solid tumors 1516 (4%; 3% allogeneic) and non-malignant disorders 2208 (6%; 90% allogeneic). Remarkable is

Discutendo  di  trapianto  di  cellule  staminali  allogeniche

Francesco Lanza- UO Ematologia- Ravenna

Page 2: Francesco Lanza- UO Ematologia- Ravenna · 24 304 (67%; 20% allogeneic), solid tumors 1516 (4%; 3% allogeneic) and non-malignant disorders 2208 (6%; 90% allogeneic). Remarkable is

HSCT  ACTIVITY  IN  EUROPE  :    EBMT  REGISTRY  

21  586  (57%)    

16  030  (43%)  

EBMT  INDICATION  MANUSCRIPT  :  to  be  published  in  May  2017  

Page 3: Francesco Lanza- UO Ematologia- Ravenna · 24 304 (67%; 20% allogeneic), solid tumors 1516 (4%; 3% allogeneic) and non-malignant disorders 2208 (6%; 90% allogeneic). Remarkable is
Page 4: Francesco Lanza- UO Ematologia- Ravenna · 24 304 (67%; 20% allogeneic), solid tumors 1516 (4%; 3% allogeneic) and non-malignant disorders 2208 (6%; 90% allogeneic). Remarkable is

CELLULAR  THERAPY  ACTIVITY    IN  EUROPE  

Page 5: Francesco Lanza- UO Ematologia- Ravenna · 24 304 (67%; 20% allogeneic), solid tumors 1516 (4%; 3% allogeneic) and non-malignant disorders 2208 (6%; 90% allogeneic). Remarkable is

ALLO-­‐  SCT    

Page 6: Francesco Lanza- UO Ematologia- Ravenna · 24 304 (67%; 20% allogeneic), solid tumors 1516 (4%; 3% allogeneic) and non-malignant disorders 2208 (6%; 90% allogeneic). Remarkable is

AUTO-­‐SCT    

 5%  ST  

Page 7: Francesco Lanza- UO Ematologia- Ravenna · 24 304 (67%; 20% allogeneic), solid tumors 1516 (4%; 3% allogeneic) and non-malignant disorders 2208 (6%; 90% allogeneic). Remarkable is
Page 8: Francesco Lanza- UO Ematologia- Ravenna · 24 304 (67%; 20% allogeneic), solid tumors 1516 (4%; 3% allogeneic) and non-malignant disorders 2208 (6%; 90% allogeneic). Remarkable is
Page 9: Francesco Lanza- UO Ematologia- Ravenna · 24 304 (67%; 20% allogeneic), solid tumors 1516 (4%; 3% allogeneic) and non-malignant disorders 2208 (6%; 90% allogeneic). Remarkable is
Page 10: Francesco Lanza- UO Ematologia- Ravenna · 24 304 (67%; 20% allogeneic), solid tumors 1516 (4%; 3% allogeneic) and non-malignant disorders 2208 (6%; 90% allogeneic). Remarkable is
Page 11: Francesco Lanza- UO Ematologia- Ravenna · 24 304 (67%; 20% allogeneic), solid tumors 1516 (4%; 3% allogeneic) and non-malignant disorders 2208 (6%; 90% allogeneic). Remarkable is
Page 12: Francesco Lanza- UO Ematologia- Ravenna · 24 304 (67%; 20% allogeneic), solid tumors 1516 (4%; 3% allogeneic) and non-malignant disorders 2208 (6%; 90% allogeneic). Remarkable is
Page 13: Francesco Lanza- UO Ematologia- Ravenna · 24 304 (67%; 20% allogeneic), solid tumors 1516 (4%; 3% allogeneic) and non-malignant disorders 2208 (6%; 90% allogeneic). Remarkable is
Page 14: Francesco Lanza- UO Ematologia- Ravenna · 24 304 (67%; 20% allogeneic), solid tumors 1516 (4%; 3% allogeneic) and non-malignant disorders 2208 (6%; 90% allogeneic). Remarkable is
Page 15: Francesco Lanza- UO Ematologia- Ravenna · 24 304 (67%; 20% allogeneic), solid tumors 1516 (4%; 3% allogeneic) and non-malignant disorders 2208 (6%; 90% allogeneic). Remarkable is
Page 16: Francesco Lanza- UO Ematologia- Ravenna · 24 304 (67%; 20% allogeneic), solid tumors 1516 (4%; 3% allogeneic) and non-malignant disorders 2208 (6%; 90% allogeneic). Remarkable is
Page 17: Francesco Lanza- UO Ematologia- Ravenna · 24 304 (67%; 20% allogeneic), solid tumors 1516 (4%; 3% allogeneic) and non-malignant disorders 2208 (6%; 90% allogeneic). Remarkable is
Page 18: Francesco Lanza- UO Ematologia- Ravenna · 24 304 (67%; 20% allogeneic), solid tumors 1516 (4%; 3% allogeneic) and non-malignant disorders 2208 (6%; 90% allogeneic). Remarkable is
Page 19: Francesco Lanza- UO Ematologia- Ravenna · 24 304 (67%; 20% allogeneic), solid tumors 1516 (4%; 3% allogeneic) and non-malignant disorders 2208 (6%; 90% allogeneic). Remarkable is

HAPLO-­‐BMT  

Child

Page 20: Francesco Lanza- UO Ematologia- Ravenna · 24 304 (67%; 20% allogeneic), solid tumors 1516 (4%; 3% allogeneic) and non-malignant disorders 2208 (6%; 90% allogeneic). Remarkable is

HAPLO-­‐BMT  

Page 21: Francesco Lanza- UO Ematologia- Ravenna · 24 304 (67%; 20% allogeneic), solid tumors 1516 (4%; 3% allogeneic) and non-malignant disorders 2208 (6%; 90% allogeneic). Remarkable is

HAPLO-­‐BMT  

Page 22: Francesco Lanza- UO Ematologia- Ravenna · 24 304 (67%; 20% allogeneic), solid tumors 1516 (4%; 3% allogeneic) and non-malignant disorders 2208 (6%; 90% allogeneic). Remarkable is
Page 23: Francesco Lanza- UO Ematologia- Ravenna · 24 304 (67%; 20% allogeneic), solid tumors 1516 (4%; 3% allogeneic) and non-malignant disorders 2208 (6%; 90% allogeneic). Remarkable is
Page 24: Francesco Lanza- UO Ematologia- Ravenna · 24 304 (67%; 20% allogeneic), solid tumors 1516 (4%; 3% allogeneic) and non-malignant disorders 2208 (6%; 90% allogeneic). Remarkable is

 

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EBMT Registry-Solid Tumour Working Party March 2017

Solid tumour Registry 55 641

Patients 40 663 Aduts/Paediatric (%) 59/ 41

Male/Female (%) 48 / 52 Auto / Allo (%) 97 / 3

Nb of HSCT Auto (n=53 865) Allo (n=1 731) First HSCT 39 284 1162

Second HSCT 9 781 430 Third HSCT 3 440 76

Fourth HSCT 623 27 > Fifth HSCT 190 9

Median follow up (yr<2016) 2, (<1-35) 1,8 (<1-31)

Page 25: Francesco Lanza- UO Ematologia- Ravenna · 24 304 (67%; 20% allogeneic), solid tumors 1516 (4%; 3% allogeneic) and non-malignant disorders 2208 (6%; 90% allogeneic). Remarkable is

 

 25

Solid Tumour Working Party Allo / Year 1990-2016* (n=1660)- EBMT Registry February 2017

1990-2016

Page 26: Francesco Lanza- UO Ematologia- Ravenna · 24 304 (67%; 20% allogeneic), solid tumors 1516 (4%; 3% allogeneic) and non-malignant disorders 2208 (6%; 90% allogeneic). Remarkable is

 

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Solid  Tumour  Working  Party  Autologous–  Adults/    paediatric-­‐  1990/2016  

EBMT  Registry  -­‐  February  2017*    

1990-2016

Page 27: Francesco Lanza- UO Ematologia- Ravenna · 24 304 (67%; 20% allogeneic), solid tumors 1516 (4%; 3% allogeneic) and non-malignant disorders 2208 (6%; 90% allogeneic). Remarkable is

 

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Solid  Tumour  Working  Party  Autologous  /  main  indicaWons-­‐  EBMT  Registry  –  February  2017  

1990-2016

Page 28: Francesco Lanza- UO Ematologia- Ravenna · 24 304 (67%; 20% allogeneic), solid tumors 1516 (4%; 3% allogeneic) and non-malignant disorders 2208 (6%; 90% allogeneic). Remarkable is

 

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Solid  Tumour    Working  Party  Nr  of  auto  performed  for  GCT/Year  in  adult  paWents  

 1990-­‐2016  (n=  10  274)    

Germ  Cell  Tumours  

Page 29: Francesco Lanza- UO Ematologia- Ravenna · 24 304 (67%; 20% allogeneic), solid tumors 1516 (4%; 3% allogeneic) and non-malignant disorders 2208 (6%; 90% allogeneic). Remarkable is
Page 30: Francesco Lanza- UO Ematologia- Ravenna · 24 304 (67%; 20% allogeneic), solid tumors 1516 (4%; 3% allogeneic) and non-malignant disorders 2208 (6%; 90% allogeneic). Remarkable is