Reduced lung function in leukaemia patients undergoing bone marrow transplantation
- 1 March 1984
- journal article
- research article
- Published by Wiley in Scandinavian Journal of Haematology
- Vol. 32 (3), 253-257
- https://doi.org/10.1111/j.1600-0609.1984.tb01689.x
Abstract
Patients (20) with leukemia in remission or early relapse received an allogeneic bone marrow graft. Patients were conditioned according to Seattle protocol with high dose cyclophosphamide and total body irradiation to a total dose of 8 grays to the lungs delivered by a 6 MV linear accelerator at a dose rate of approximately 0.06 grays/min. As prophylaxis against the graft vs. host reaction, methotrexate and/or cyclosporin A were given. Lung function was studied prior to treatment and every 3 mo. thereafter. Before treatment a marked decrease was seen in the CO diffusion capacity when compared to the predicted value, while the flow volume relationships were within normal limits. The cause of this is unknown, but may be due to previous infections and the cytostatic treatment given. After bone marrow transplantation, a further irreversible decrease was seen in the CO diffusion capacity and vital capacity indicating an additive effect of the lung irradiation.Keywords
This publication has 9 references indexed in Scilit:
- Respiratory failure due to pulmonary leukostasis following chemotherapy of acute nonlymphocytic leukemiaCancer, 1983
- Lung function after bone marrow graftingInternational Journal of Radiation Oncology*Biology*Physics, 1983
- FACTORS ASSOCIATED WITH INTERSTITIAL PNEUMONITIS AFTER BONE-MARROW TRANSPLANTATION FOR ACUTE LEUKAEMIAThe Lancet, 1982
- One hundred patients with acute leukemia treated by chemotherapy, total body irradiation, and allogeneic marrow transplantationBlood, 1977
- The effect of anemia on pulmonary diffusing capacity with derivation of a correction equation.Published by Elsevier BV ,1970
- Application of the single-breath method of total lung capacity measurement to the calculation of the carbon monoxide diffusing capacity.Published by Elsevier BV ,1968
- Regional lung function studied with Xe133 in children with pneumoniaActa Paediatrica, 1967
- Effects of unilateral thoracic irradiation on lung functionJournal of Applied Physiology, 1965