Patients with Hodgkin's disease (HD) or large cell lymphomas who relapse after conventional chemotherapy have a poor prognosis
without high-dose chemotherapy and stem cell transplantation (HDCT). Patients who relapse after HDCT have an extremely poor
outcome. In the present study we describe four patients with relapsed HD (
n=1) and large cell lymphomas (
n=3) after HDCT. All had an aggressive clinical course before HDT. At relapse, however, they all have had prolonged remissions
and/or spontaneous regressions on mild or no treatment. Possible explanations could be selection of less malignant clones
or a lymphoma controlled by the immune system. The mechanisms are, however, unknown but warrant further studies of the molecular
biology in these and similar cases.
Keywords ABMT - relapse - high-dose chemotherapy