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Bone Marrow Transplant Information

  • Bone marrow transplantation (BMT) or hematopoietic stem cell transplantation (HSCT) is a medical procedure in the field of hematology and oncology that involves transplantation of hematopoietic stem cells (HSC). It is most often performed for people with diseases of the blood or bone marrow, or certain types of cancer. Bone marrow transplantation was pioneered in the 1970's by E. Donnall Thomas whose work was later recognized with a Nobel Prize in Physiology and Medicine...
  • Dr. Thomas' work showed that bone marrow cells infused intravenously could repopulate the bone marrow and produce new blood cells. His work also reduced the likelihood of developing a life-threatening complication called Graft-versus-host disease (GVHD). However it remains a risky procedure and it is reserved for patients with life threatening diseases.

    Most recipients of HSCTs are leukemia patients or others who would benefit from treatment with high doses of chemotherapy or Total body irradiation (TBI). Other patients who receive bone marrow transplants include pediatric cases where the patient has an inborn defect such as severe combined immunodeficiency or congenital neutropenia and was born with defective stem cells. Children or adults with aplastic anemia have lost their stem cells after birth and may not require such high doses of chemotherapy and irradiation prior to a transplant. In this case there is a greater need for immunosuppressive agents.

    Other conditions that bone marrow transplants are considered for include thalassemia major, sickle-cell disease, myelodysplastic syndrome, lymphoma, and multiple myeloma. More recently non-myeloablative, or so-called "mini transplant" procedures have been developed which do not require such large doses of chemotherapy and radiation. This has allowed HSCT to be conducted in older patients and without the need for hospitalization.

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Myelodysplastic syndromes (MDS) have been on everyone’s tongues since hearing about the great screenwriter Nora Ephron’s death. Many of you also saw Robin Roberts announce on Good Morning America that she too had MDS and was taking time off to fight it, and will receive a bone marrow transplant from her sister who is a perfect match. Here ... Read More »
Whether its knee replacement, lumbar spine surgery, or hysterectomy; most of the anxiety my patients have about their upcoming surgery is about pain they will have after surgery, and potential nausea and vomiting from their pain meds. Patient controlled analgesia (PCA) is often used after surgery where patients press a button to deliver their ... Read More »
Our bones are so much more than “dry bones.” They are a component of our structural function, our form, mobility, and immune function. Without good bone health as we age, our health becomes vulnerable and can even deteriorate. Often bones break which cause falls which can seriously affect our health. One third of adults over 65 fall every ... Read More »

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