An in-depth look into stem cell transplants and cancers they can cure.
Shannon Lamkins
Western Governors University
WGU Student ID # 000257114
Stem cell transplants are often one of the last choices a patient has to survive cancer. All have already gone through chemotherapy, radiation therapy or both and this is the next step in their treatment. Patients have two choices in transplants autologous or allogeneic. In an autologous transplant stem cells are collected from the patient and then given back to them at a later date after the body has been properly prepared for transplantation. In an allogeneic transplant stem cells are collected from a donor, related or unrelated to the patient, then transplanted into the patient. Stem cells can be collected in two different ways. One way is via bone marrow and the other is via peripheral blood. The donor’s or patient’s bone marrow is collected from the pelvis, femur or sternum, though the pelvis is the most common, and then infused into the patient via a central line. In a peripheral blood stem cell collection the donor or the patient has their stem cells collected via a central line in a process called apheresis. This can take multiple collections to ensure enough stem cells for transplantation. Both procedures need to be meticulously planned and all support medications given to ensure successful collection. There are many cancers that stem cell transplants are commonly used for. Multiple myeloma, acute lymphoblastic leukemia, Hodgkin’s disease and chronic myelogenous leukemia are more commonly treated with transplantation. Each of these cancers has a different success rate, some have a higher success rates than with chemotherapy alone. Proper preparation is important for stem cell transplants. All patients undergo chemotherapy prior to transplantation. This is used to clear out the bone marrow of cells to ensure a