Histiocytic disorders
Blastic plasmacytoid dendritic cell neoplasm
Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is a rare aggressive cancer of immature plasmacytoid dendritic cells. It often appears in the skin but can also involve marrow, blood, lymph nodes and the central nervous system.
Other names and abbreviations
BPDCN · CD4+ CD56+ hematodermic neoplasm (historical) · Blastic NK-cell lymphoma · agranular CD4-positive natural killer cell leukaemia (historical)
Where transplant fits
Allogeneic transplantation is commonly considered for eligible patients, ideally in a first remission when feasible. Unrelated registry donors and relatives can provide suitable grafts. The evidence supporting timing is mainly observational, and treatment response or transplant does not guarantee cure.
Treatment depends on the exact diagnosis, disease stage, prior treatment and the person’s health. These categories are not estimates of donor demand.
Treatment at a glance
- Who it affects
- BPDCN mainly affects older adults, more often men, but it also occurs in younger people and children.
- Other treatment options
- Treatment may use the CD123-directed medicine tagraxofusp, leukemia-style chemotherapy or a clinical trial. CNS evaluation and CNS-directed treatment are considered within specialist care. Response and medical fitness guide subsequent consolidation.
- Cells used for transplantation
- Donated blood-forming cells for allogeneic transplantation. Marrow, peripheral blood or cord blood and donor type are selected for the patient and transplant approach.
Questions to bring to your care team
What is the exact diagnosis or subtype? What is the goal of each treatment option? If transplant is being considered, why does it fit this situation, which cells would be used and what are the alternatives?
Sources and further reading
- WHO fifth-edition classification: Myeloid and Histiocytic/Dendritic Neoplasms
WHO classification authors / Leukemia · Accessed 2026-09-05 - Allogeneic hematopoietic cell transplantation for blastic plasmacytoid dendritic cell neoplasm: a CIBMTR analysis
CIBMTR / Blood Advances · Accessed 2026-09-05 - Stem Cell and Bone Marrow Transplants for Cancer
NCI · Accessed 2026-09-05 - Donor and cord blood unit selection guidelines
NMDP / CIBMTR · Accessed 2026-09-05
Understanding can become action.
Some patients need a blood stem cell donor. Others receive different treatment. Wherever your interest began, you can help JBF reach more people who may be able to donate.
Explore the official registry serving where you live. It explains who can join, how registration works and what donation involves.
Find your official registryIf joining is not right for you, a gift to the Jada Bascom Foundation supports education, outreach and referrals to official registries.
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