Table 3.

Autologous versus allogeneic stem cell transplantation (SCT) for lymphoid diseases.

Allogeneic SCT
DiseaseAutologous SCTNonmyeloablativeHigh-dose Chemotherapy
Abbreviations: DLCL, diffuse large-cell leukemia; FL, follicular lymphoma; MCL, mantle cell lymphoma; CLL, chronic lymphocytic leukemia 
DLCL Treatment of choice for first chemosensitive relapse 
  • Advanced relapse

  • After failure of auto SCT

 
  • Refractory disease in young patients

 
FL First chemosensitive relapse 
  • Advanced relapse

  • After failure of auto SCT

 
  • Refractory disease in young patients

 
MCL First remission 
  • Relapsed chemosensitive disease

 
  • Refractory disease in young patients

 
CLL No defined role 
  • In first remission if no complete response to conventional chemotherapy or poor prognostic features (del 17p, ZAP-70, unmutated heavy chain genes)

  • Relapsed disease

  • Richter’s

 
  • Refractory disease in young patients

 
Allogeneic SCT
DiseaseAutologous SCTNonmyeloablativeHigh-dose Chemotherapy
Abbreviations: DLCL, diffuse large-cell leukemia; FL, follicular lymphoma; MCL, mantle cell lymphoma; CLL, chronic lymphocytic leukemia 
DLCL Treatment of choice for first chemosensitive relapse 
  • Advanced relapse

  • After failure of auto SCT

 
  • Refractory disease in young patients

 
FL First chemosensitive relapse 
  • Advanced relapse

  • After failure of auto SCT

 
  • Refractory disease in young patients

 
MCL First remission 
  • Relapsed chemosensitive disease

 
  • Refractory disease in young patients

 
CLL No defined role 
  • In first remission if no complete response to conventional chemotherapy or poor prognostic features (del 17p, ZAP-70, unmutated heavy chain genes)

  • Relapsed disease

  • Richter’s

 
  • Refractory disease in young patients

 

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