Treatment FAQ

what is bmt treatment

by Claudia Lebsack Published 2 years ago Updated 2 years ago
image

What does BMT stand for in medicine?

Bone marrow transplant (BMT) is a special therapy for patients with certain cancers or other diseases. A bone marrow transplant involves taking cells that are normally found in the bone marrow (stem cells), filtering those cells, and giving them back either to the donor (patient) or to another person.

What is the life expectancy after a bone marrow transplant?

This music is known as BRAIN MUSIC THERAPY (BMT). BMT is one of the form of biofeedback, neurofeedback, where brain waves tend to recognize themselves when you ‘hear’, ‘play’ them back to yourself. When this happens, your brain waves are more responsive, allowing you to more accurately manipulate them, raising or lowering their frequency to your desire.

What is the success rate of bone marrow transplant?

A bone marrow transplant is a medical treatment that replaces your bone marrow with healthy cells. The replacement cells can either come from your own body or from a donor. A bone marrow transplant is also called a stem cell transplant or, more …

What is the recovery time for bone marrow transplant?

A blood or bone marrow transplant is a transfusion of bone marrow stem cells or blood stem cells which have been previously collected from the patient or a donor. It is performed as part of a treatment protocol intended to wipe out cancer cells in the body. This is a far more aggressive approach than is used in typical cancer treatment.

image

How serious is a bone marrow transplant?

A bone marrow transplant has serious risks. Some patients suffer from life-threatening problems as a result of their transplant. These problems can include serious infections and graft-versus-host disease (GVHD) , in which the transplanted cells attack the patient's body.

What is the average life expectancy after bone marrow transplant?

Some 62% of BMT patients survived at least 365 days, and of those surviving 365 days, 89% survived at least another 365 days. Of the patients who survived 6 years post-BMT, 98.5% survived at least another year.

What is BMT in chemotherapy?

A procedure in which a patient receives healthy stem cells (blood-forming cells) to replace their own stem cells that have been destroyed by treatment with radiation or high doses of chemotherapy. The healthy stem cells may come from the bone marrow of the patient or from a related or unrelated donor.

Is bone marrow harvesting painful?

Marrow donation is done under general or regional anesthesia so the donor experiences no pain during the collection procedure.

Does a bone marrow transplant shorten your life?

Overall, the life expectancy of patients who underwent BMT was 20.8% lower than expected, translating into 8.7 years of life lost, reported Smita Bhatia, MD, MPH, of the Institute for Cancer Outcomes and Survivorship at the University of Alabama in Birmingham, and colleagues.

Can you live a normal life after stem cell transplant?

A stem cell transplant may help you live longer. In some cases, it can even cure blood cancers. About 50,000 transplantations are performed yearly, with the number increasing 10% to 20% each year. More than 20,000 people have now lived five years or longer after having a stem cell transplant.

What are the odds of surviving a stem cell transplant?

If an allogeneic stem cell transplant is done during first remission, the 5-year disease-free survival rate is 30%–50%. If there has been no recurrence at 2 years after the stem cell transplant, the person has about an 80% chance of staying in complete remission for a long period of time.

Is stem cell transplant painful?

The transplant The stem cells will be passed slowly into your body through the central line. This process often takes around a couple of hours. The transplant won't be painful and you'll be awake throughout.

How long after chemo do you get a stem cell transplant?

Before the stem cell transplant, a child is usually given about 5 months of intense chemotherapy and sometimes surgery to remove the tumor as well. Some children might get 2 stem cell transplants a few months apart, called tandem stem cell transplants.

How long do you stay in isolation after stem cell transplant?

There is a group of people who have been through this before, however: bone marrow and stem cell transplant patients are required to live in isolation for 100 days while their new immune systems establish themselves.

What are the side effects of bone marrow transplant?

Stem Cell or Bone Marrow Transplant Side EffectsMouth and throat pain. ... Nausea and vomiting. ... Infection. ... Bleeding and transfusions. ... Interstitial pneumonitis and other lung problems. ... Graft-versus-host disease. ... Hepatic veno-occlusive disease (VOD) ... Graft failure.More items...•

What happens after 100 days of stem cell transplant?

The cells that are usually affected by GVHD are the skin, digestive tract, and liver. When GVHD starts, it is called acute GVHD. If it lasts for more than 100 days, or starts 100 days after your transplant, it is called chronic GVHD. Chronic GVHD can affect your eyes, mouth, lungs, vaginal lining, muscles, and joints.

What are the long term side effects of a bone marrow transplant?

Long-term side effectsInfertility, meaning you cannot become pregnant or make a woman pregnant when you want to.Cataracts, an eye condition that causes cloudy vision.Sexual side effects and early menopause.Thyroid problems.Lung or bone damage.Another cancer.

What Happens When leukemia comes back after bone marrow transplant?

Relapse generally results from residual malignant cells that survive the preparative regimen and are not eliminated by the graft-vs-leukemia effect. In a minority of patients, relapse appears to occur in donor-derived cells. Relapse may occur by immune escape from graft-vs-leukemia effects.

What is the age limit for bone marrow transplant?

People who meet certain criteria may be considered for bone marrow transplant. At Mayo Clinic, doctors will consider selected patients over 65 years of age, depending on their overall physical health.

What are the side effects of bone marrow transplant?

Stem Cell or Bone Marrow Transplant Side EffectsMouth and throat pain. ... Nausea and vomiting. ... Infection. ... Bleeding and transfusions. ... Interstitial pneumonitis and other lung problems. ... Graft-versus-host disease. ... Hepatic veno-occlusive disease (VOD) ... Graft failure.More items...•

How long does it take for a bone marrow transplant to work?

It usually takes several weeks before the number of blood cells in your body starts to return to normal. In some people, it may take longer. In the days and weeks after your bone marrow transplant, you'll have blood tests and other tests to monitor your condition.

Why do we need bone marrow transplants?

A bone marrow transplant may be used to: Safely allow treatment of your condition with high doses of chemotherapy or radiation by replacing or rescuing the bone marrow damaged by treatment. Replace diseased or damaged marrow with new stem cells. Provide new stem cells, which can help kill cancer cells directly.

Can bone marrow be used for cancer?

Bone marrow transplants can benefit people with a variety of both cancerous (malignant) and noncancerous (benign) diseases, including:

How to treat cancer with chemotherapy?

Safely allow treatment of your condition with high doses of chemotherapy or radiation by replacing or rescuing the bone marrow damaged by treatment. Replace diseased or damaged marrow with new stem cells. Provide new stem cells, which can help kill cancer cells directly. Bone marrow transplants can benefit people with a variety ...

How does a stem cell transplant work?

Video: How a stem cell transplant works. Bone marrow is the spongy tissue inside some bones. Its job is to produce blood cells. If your bone marrow isn't functioning properly because of cancer or another disease, you may receive a stem cell transplant.

What is the function of bone marrow?

Bone marrow is the spongy tissue inside some bones. Its job is to produce blood cells. If your bone marrow isn't functioning properly because of cancer or another disease, you may receive a stem cell transplant.

Is bone marrow transplant dangerous?

A bone marrow transplant poses numerous risks. Some people experience minimal problems with a bone marrow transplant, while others can have serious complications that require treatment or hospitalization. Sometimes, complications are life-threatening.

Can bone marrow transplants cure cancer?

Curing your cancer is often the goal of a bone marrow/stem cell transplant. A cure may be possible for certain cancers, such as some types of leukemia and lymphoma. For other diseases, remission of the cancer is the best possible result. Remission is having no signs or symptoms of cancer.

What is the treatment for cancer?

Sometimes, cancer is treated with a high-dose, intensive chemotherapy or radiation therapy treatment. This type of treatment can damage your stem cells and your immune system. That's why doctors remove, or rescue, your stem cells from your blood or bone marrow before the cancer treatment begins. After chemotherapy, the stem cells are returned ...

What is bone marrow transplant?

A bone marrow transplant is also called a stem cell transplant or, more specifically, a hematopoietic stem cell transplant. Transplantation can be used to treat certain types of cancer, such as leukemia, myeloma, and lymphoma, and other blood and immune system diseases that affect the bone marrow.

What are stem cells?

Stem cells are special cells that can make copies of themselves and change into the many different kinds of cells that your body needs. There are several kinds of stem cells and they are found in different parts of the body at different times. Cancer and cancer treatment can damage your hematopoietic stem cells.

What are the different types of stem cells?

There are several kinds of stem cells and they are found in different parts of the body at different times. Cancer and cancer treatment can damage your hematopoietic stem cells. Hematopoietic stem cells are stem cells that turn into blood cells. Bone marrow is soft, spongy tissue in the body that contains hematopoietic stem cells.

Where are hematopoietic stem cells found?

It is found in the center of most bones . Hematopoietic stem cells are also found in the blood that is moving throughout your body. When hematopoietic stem cells are damaged, they may not become red blood cells, white blood cells, and platelets. These blood cells are very important and each one has a different job:

What is the function of white blood cells?

White blood cells are a part of your immune system. They fight pathogens, which are the viruses and bacteria that can make you sick. Platelets form clots to stop bleeding. A bone marrow/stem cell transplant is a medical procedure by which healthy stem cells are transplanted into your bone marrow or your blood.

What is bone marrow?

Bone marrow is the spongy tissue found inside the body's large bones. It is responsible for making blood cells including red blood cells, white blood cells and platelets. It is also home to the immune system.

What are stem cells?

Blood cells develop and grow in the same way as other human cells, beginning with a parent cell known as a stem cell. During this process, which takes place in the bone marrow, stem cells divide and mature, forming all the different types of blood cells: white blood cells, platelets and red blood cells.

What is a bone marrow transplant?

A blood or bone marrow transplant is a transfusion of bone marrow stem cells or blood stem cells which have been previously collected from the patient or a donor. It is performed as part of a treatment protocol intended to wipe out cancer cells in the body. This is a far more aggressive approach than is used in typical cancer treatment.

What are the different types of blood and marrow transplantation

The type of transplant a patient receives depends on who donates the bone marrow or blood stem cells. The most common types are:

What determines whether a patient receives an autologous transplant or an allogeneic transplant?

The type of transplant recommended depends on the unique needs of the patient. Each transplant type brings with it specific benefits and risks. Autologous transplants have a lower risk of infection during the conditioning period because a patient's immune system will recover more quickly.

How are bone marrow stem cells or blood stem cells collected?

Bone marrow stem cells are collected from the bone marrow of either the patient or a donor through a process called harvesting. The procedure is performed in the operating room under general or spinal anesthesia. Several needles are placed through the skin into each hip bone (pelvis) to extract the marrow.

What is involved in the actual transplant?

The transplant or infusion is similar to a blood transfusion. The "transplant" is given through an IV placed in the patient's arm.

What is Bone Marrow?

Bone marrow is a flexible, sponge-like material located inside bones. The marrow in the sternum (breastbone), pelvic bone (hips), skull, ribs, and spine contain hematopoietic (blood-forming) stem cells.

How Can Bone Marrow Transplantation Treat Cancer?

A bone marrow transplant does not kill or destroy cancer cells. However, BMT allows patients to participate in treatment strategies that would otherwise be life threatening. These strategies include high-dose chemotherapy and/or radiation therapy.

Types of Bone Marrow Transplant

Three types of bone marrow transplant have been designed to complement a variety of patient / cancer scenarios:

What Types of Cancer are Commonly Treated with Bone Marrow Transplant?

The following cancer types are commonly treated with bone marrow transplantation:

How are Cells Obtained for Bone Marrow Transplant?

The process of obtaining bone marrow is called “harvesting”. Allogeneic, autologous, and syngeneic hematopoietic stem cells are all harvested similarly. During the procedure, the donor receives either general anesthesia, which causes the donor to lose consciousness, or regional anesthesia, which causes a loss of sensation below the waist.

How Does the Patient Receive the Transplanted Cells?

Following high-dose chemotherapy or radiotherapy, the patient receives the healthy stem cells through intravenous (IV) injection. This part of a bone marrow transplant is very similar to a blood transfusion.

Side Effects of a Bone Marrow Transplant

Bone marrow transplantation is a delicate procedure that is associated with serious complications:

What is the purpose of radiation therapy?

The purpose of radiation therapy is to destroy residual cancer cells and/or further depress the immune system to improve acceptance of the new bone marrow. The radiation is given to the entire body, called total body irradiation (TBI).

How long before a transplant can you get chemotherapy?

During the "countdown period," usually five to 10 days before the transplant, a conditioning regimen is administered. The drugs, or chemotherapy, and/or radiation that are used vary with the underlying disease. Some children with severe immunodeficiencies may not require any chemotherapy or radiation.

Can a child receive chemotherapy?

There are various chemotherapy agents that your child may receive in preparation for a bone marrow transplant. Not all of the potential side effects may occur and the negative side effects vary greatly from patient to patient. It is important to know that most of the drugs used in the conditioning regimen contribute to the following negative side ...

What are the side effects of radiation?

The immediate side effects of radiation therapy, which occur within the first few hours and days, may include diarrhea, nausea, vomiting and tiredness. Mouth sores also can be a problem due to the combination effect of chemotherapy and radiation.

Can radiation cause a sore throat?

Mouth sores also can be a problem due to the combination effect of chemotherapy and radiation. Many children complain of a dryness of the mouth, sore throat and thickened saliva. Starting several days after radiation therapy, hair loss, sunburning and dryness of the skin may be experienced.

What happens to the skin after radiation?

Starting several days after radiation therapy, hair loss, sunburning and dryness of the skin may be experienced. Much rarer side effects include swelling (like mumps) of the glands in the cheeks and fever. Radiation therapy also destroys the cells of the bone marrow and, most importantly, cancer cells.

What are the long term effects of radiation and chemotherapy?

Potential long-term effects of chemotherapy and radiation, which will be discussed by your child's doctors, include cataracts (clouding of the lens in the eye), delayed growth and development, sterility and the possible development of a second cancer.

image

Overview

Involves replacement of damaged or diseased bone marrow with stem cells derived from healthy bone marrow.

Treatment for: Aplastic Anemia · Sickle Cell Anemia · Neutropenia · Lymphoma · Leukemia and more

Type of procedure: Minimally invasive

Recovery time: Can take several weeks

Duration: About 20-30 minutes

Hospital stay: Typically a few days

Why It's Done

Risks

How You Prepare

  • A bone marrow transplant is a procedure that infuses healthy blood-forming stem cells into your body to replace your damaged or diseased bone marrow. A bone marrow transplant is also called a stem cell transplant. You might need a bone marrow transplant if your bone marrow stops working and does not produce enough healthy blood cells. Bone marrow t...
See more on mayoclinic.org

What You Can Expect

  • A bone marrow transplant may be used to: 1. Safely allow treatment of your condition with high doses of chemotherapy or radiation by replacing or rescuing the bone marrow damaged by treatment 2. Replace diseased or damaged marrow with new stem cells 3. Provide new stem cells, which can help kill cancer cells directly Bone marrow transplants can benefit people with …
See more on mayoclinic.org

Results

  • A bone marrow transplant poses numerous risks. Some people experience minimal problems with a bone marrow transplant, while others can have serious complications that require treatment or hospitalization. Sometimes, complications are life-threatening. Your particular risks depend on many factors, including the disease or condition that caused you to need a transplant, the type o…
See more on mayoclinic.org

Clinical Trials

  • Pretransplant tests and procedures
    You'll undergo a series of tests and procedures to assess your general health and the status of your condition, and to ensure that you're physically prepared for the transplant. The evaluation may take several days or more. In addition, a surgeon or radiologist will implant a long thin tube …
  • Collecting stem cells for autologous transplant
    If a transplant using your own stem cells (autologous transplant) is planned, you'll undergo a procedure called apheresis (af-uh-REE-sis) to collect blood stem cells. Before apheresis, you'll receive daily injections of growth factor to increase stem cell production and move stem cells in…
See more on mayoclinic.org

Coping and Support

  • During your bone marrow transplant
    Your bone marrow transplant occurs after you complete the conditioning process. On the day of your transplant, stem cells are infused into your body through your central line. The transplant infusion is painless. You'll be awake during the procedure.
  • After your bone marrow transplant
    When the new stem cells enter your body, they travel through your blood to your bone marrow. In time, they multiply and begin to make new, healthy blood cells. This is called engraftment. It usually takes several weeks before the number of blood cells in your body starts to return to nor…
See more on mayoclinic.org

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9