Hematology

The CAR T-Cell Therapy Program at Smilow Cancer Hospital brings an innovative new immunotherapy treatment option to patients with certain blood cancers. Chimeric Antigen Receptor (CAR) T-cell therapy reprograms a patient’s own T-cells to target tumor antigens. CAR T-cell therapy has shown complete remission rates of 80 to 90 percent in patients with B-cell acute lymphoblastic leukemia and multiple myeloma, and 40 percent in patients with aggressive B-cell non-Hodgkin’s lymphomas who have failed multiple prior lines of treatment. The groundbreaking therapy is currently only available in Connecticut at Smilow Cancer Hospital.

As part of the program, oncology clinical social workers help patients and families manage the stress associated with therapy. Patients and family members are provided with ongoing clinical social work support including listening, counseling, educating, advocating and referring them to resources and services.

There are a variety of lymphoma treatment options available for cutaneous T and B-cell lymphoma and many patients are able to live relatively normal lives during and following therapy. Early diagnosis, cutting-edge lymphoma treatment, and novel therapies provide a significant benefit to patients with cutaneous lymphomas at Yale Cancer Center and throughout the world.

Yale Cancer Center continues to make innovative advances in the diagnosis and treatment of cutaneous lymphoma through the focused efforts of a ground-breaking clinical research team. Their multispecialty approach to the treatment of patients with cutaneous lymphomas has led to the development of FDA approved lymphoma treatments that are now the standard of care worldwide

Smilow Cancer Hospital offers a comprehensive program to meet the needs of patients with sickle cell anemia, also known as sickle cell disease. This program provides comprehensive services to meet the needs of patients and families living in the Greater New Haven area. The Sickle Cell Program's objectives are to educate the community, patients, families and health care providers about sickle cell disease, and reduce the number of hospitalizations and emergency room visits. The program offers high-risk adults the opportunity to be seen in the hematology clinic.
 

Learn more about the Sickle Cell Program >

Several Smilow physicians are also experts in stem cell transplantation, which is part of standard blood cancer therapy for selected patients with myeloma, leukemia and lymphoma. Smilow is one of a handful of cancer hospitals in the country to perform haploidentical transplants, which allow patients to be transplanted with mismatched or half-matched donor stem cells from a family member with whom they have only one set of genes in common.

Yale New Haven Hospital is a member of the National Marrow Donor Program and is accredited as a major transplant center by the Foundation for the Accreditation of Cellular Therapy transplant accreditation committee.

In an effort to destroy abnormal cancerous cells in leukemia, lymphoma and multiple myeloma, stem cell transplants are often used. Together with Yale Cancer Center, we are the only center in Connecticut offering allogeneic transplant, a transplant using compatible donor stem cells. The number of allogeneic transplants performed annually at Smilow Cancer Hospital has doubled in the last four years.

Smilow Cancer Hospital also performs autologous stem cell transplant, which are stem cells removed from your blood by apheresis and are given back intravenously, and allogeneic stem cell transplant, which are stem cells received from another person.

T Cell Lymphomas have a number of different subtypes. The hematology team at Smilow Cancer Hospital has expertise in profiling patient’s tumors to determine the specific genetic mutations so treatment can be tailored. Novel monoclonal antibodies, targeted therapies, and inhibitors are all in study through clinical trials providing multiple options to patients. The role of stem cell transplants, both in newly diagnosed and relapsed patients, is also a treatment consideration that the team discusses at Tumor Board based on stage, health, and donor availability.

Myelodysplastic Syndromes (MDS) are a group of diverse bone marrow disorders in which the bone marrow does not produce enough healthy blood cells. A diagnosis is usually made using a bone marrow biopsy and there are typically not any early signs or symptoms. At Smilow Cancer Hospital, there are different treatment options available to patients, including clinical trials. Patients are treated based on their individual clinical and genetic features and classified as either lower risk or higher risk. Certain patients can be cured with aggressive treatment with chemotherapy followed by stem cell transplant using stem cells from a donor.

Classical hematology, or “benign” hematology, is non-cancer related blood disorders. Our hematologists provide a full spectrum of care to patients with non-malignant hematology disorders, and participate in research to advance treatment options for their patients.

The types of disorders that we care for are varied and include thrombosis, anemia, bleeding and platelet disorders.

Our patients benefit from specialized resources such as the state-of-the-art nuclear imaging technology, one of the largest total skin electron beam radiation oncology program worldwide, 3D conformal radiotherapy, intensity modulated radiation therapy (IMRT) and Gamma Knife services