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Focused on the patient - Baylor Health Care System

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<str<strong>on</strong>g>Focused</str<strong>on</strong>g> <strong>on</strong> Specialized <strong>Care</strong> 11<strong>Baylor</strong> Charles A. Samm<strong>on</strong>s Cancer Center treats alltypes of cancer, both comm<strong>on</strong> and rare, utilizing <strong>the</strong>advanced expertise of its medical staff. This annualreport highlights elements of treatment for breastcancer, blood and marrow transplant, prostate cancer,and T-cell lymphoma; it also features palliative care.Blood and Marrow Transplantby Edward Agura, M.D.2007 marked <strong>the</strong> 25th anniversary of <strong>the</strong> Blood and Marrow Transplant program and <strong>the</strong>celebrati<strong>on</strong> of its 3,500th transplant. As a result of <strong>on</strong>going growth, <strong>Baylor</strong> has become <strong>the</strong>eleventh largest transplant center in <strong>the</strong> United States.Through research, we are discovering better ways to reduce transplant-related complicati<strong>on</strong>sand match <strong>patient</strong>s with <strong>the</strong>ir d<strong>on</strong>ors. Our unrelated d<strong>on</strong>or center has surpassed itsminority recruitment targets c<strong>on</strong>sistently, year after year. Patients who come to <strong>Baylor</strong> havemore than an 80% chance of finding suitable d<strong>on</strong>ors.Dr. Edward AguraResearch remains a prominent focus of <strong>the</strong> program. Our program has more than 20 Instituti<strong>on</strong>alReview Board-approved research protocols for <strong>patient</strong>s with leukemia, lymphoma,myelodysplastic syndrome, multiple myeloma, and aplastic anemia. We are participatingin <strong>the</strong> Nati<strong>on</strong>al Institutes of <strong>Health</strong> Clinical Trials Network, a nati<strong>on</strong>al c<strong>on</strong>sortium of majortransplant centers tackling, for <strong>the</strong> first time, difficult questi<strong>on</strong>s in a collaborative manner.Fur<strong>the</strong>rmore, we have active studies in such areas as n<strong>on</strong>-myeloablative (reduced-intensity)transplants, cancer vaccines, radiopharmaceuticals, treatment of graft-versus-host disease,inducti<strong>on</strong> of immune intolerance, supportive care, and novel anti-infectives.Finally, <strong>the</strong> program has developed an expertise in <strong>the</strong> treatment of older individuals. Ourprotocols are designed specifically for <strong>patient</strong>s through age 75, and candidates formerlydeemed too frail for c<strong>on</strong>venti<strong>on</strong>al transplants may now be c<strong>on</strong>sidered for n<strong>on</strong>-ablativetransplant protocols in n<strong>on</strong>-Hodgkin’s lymphoma, acute myelogenous leukemia, myelodysplasticsyndrome, and multiple myeloma.Nati<strong>on</strong>al Marrow D<strong>on</strong>or ProgramApproximately 70% of <strong>patient</strong>s searching for a marrow or blood stem cell transplant willnot find a suitable match within <strong>the</strong>ir family and must look to an unrelated d<strong>on</strong>or to provide<strong>the</strong> life-saving cells <strong>the</strong>y require. <strong>Baylor</strong> Charles A. Samm<strong>on</strong>s Cancer Center at Dallas, incooperati<strong>on</strong> with <strong>the</strong> Nati<strong>on</strong>al Marrow D<strong>on</strong>or Program (NMDP), offers all four of <strong>the</strong> comp<strong>on</strong>entsof <strong>the</strong> d<strong>on</strong>ati<strong>on</strong> process: a transplant center, a d<strong>on</strong>or center, a b<strong>on</strong>e marrow collec-Facing page: Thanks to <strong>the</strong>compassi<strong>on</strong>ate d<strong>on</strong>ati<strong>on</strong> ofblood stem cells from anunrelated and unknown d<strong>on</strong>or,Leigh Taylor is glowing with<strong>the</strong> prospects of a new life.

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