
Pediatric Autologous Bone Marrow Transplant (BMT) in India
- In an autologous bone marroww transplant, stem cells are harvested from the child’s own bone marroww or blood, processed, and then reinfused after intensive treatment, usually chemotherapy or radiation.
- Pediatric autologous bone marroww transplant (ABMT) is a medical procedure used to treat various conditions in children, including certain cancers (like leukemia and lymphoma), blood disorders, and immune deficiencies
Types of Pediatric Autologous BMT
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Bone Marrow Harvesting:Stem cells are directly collected from the child’s bone marroww, typically from the hip bone (iliac crest) under anesthesia.
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Peripheral Blood Stem Cell (PBSC) Collection:Stem cells are mobilized into the bloodstream using growth factors and then collected through apheresis, a process that separates stem cells from other blood components.
Indications for Pediatric Autologous BMT
- Hematological malignancies
- Acute lymphoblastic leukemia (ALL) .
- Hodgkin and non-Hodgkin lymphoma .
- Neuroblastoma .
- Non-malignant disorders .
- Severe aplastic anemia .
- Thalassemia (in specific cases) .
- Other conditions (e.g., certain autoimmune diseases)
Donor Selection
- No Donor Needed: In autologous transplants, the child is their own donor, so there’s no external donor selection process.
- Stem Cell Harvesting: Stem cells are collected from the child’s own bone marroww or peripheral blood. The health and quality of the child’s stem cells are assessed before harvesting.
Pre-Transplant Evaluation
- Comprehensive assessment of the pediatric patient .
- Psychological evaluations for families .
- Pre-treatment protocols and informed consent process
The Transplant Procedure
- Conditioning regimen (chemotherapy and/or radiation) .
- Infusion of the patient’s own stem cells .
- Monitoring and supportive care during and after the procedure
Complications and Management
- Risks of graft-versus-host disease (GVHD) .
- Infection risks and management strategies .
- Long haul follow-up and checking for late impacts
Recent Advances and Research
- Risks associated with autologous BMT .
- Management of side effects (e.g., infections, fatigue) .
- Long-term follow-up care and monitoring for late effects
Conclusion
- Pediatric autologous BMT is a viable option for treating various conditions in children in India.
- With advancements in medical technology and increasing expertise, the success rates and overall outcomes for pediatric patients are improving.
- Families should work closely with their healthcare providers to navigate the treatment process effectively.
Departments

Blood Cancer

Sickle Cell Anaemia

Allogeneic Transplant

Haploidentical Transplant
