Multiple Myeloma: Diagnosis and Treatment

被引:348
作者
Rajkumar, S. Vincent [1 ]
Kumar, Shaji [1 ]
机构
[1] Mayo Clin, Div Hematol, Rochester, MN 55905 USA
关键词
STEM-CELL TRANSPLANTATION; LENALIDOMIDE PLUS DEXAMETHASONE; INTERNATIONAL STAGING SYSTEM; LOW-DOSE DEXAMETHASONE; UNDETERMINED SIGNIFICANCE MGUS; UPDATED MAYO STRATIFICATION; BONE-MARROW-TRANSPLANTATION; RANDOMIZED PHASE-III; MONOCLONAL GAMMOPATHY; DOUBLE-BLIND;
D O I
10.1016/j.mayocp.2015.11.007
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The diagnosis and treatment of multiple myeloma has changed dramatically in the past decade. The disease definition has been updated to include highly specific biomarkers in addition to established markers of end-organ damage. The staging system has been revised to combine both measures of tumor burden and disease biology. Advances in therapy have resulted in a marked improvement in overall survival. New drugs introduced in the past few years include carfilzomib, pomalidomide, panobinostat, ixazomib, elotuzumab, and daratumumab. In this review, we outline the current approach to the diagnosis, prognosis, and management of multiple myeloma. (C) 2016 Mayo Foundation for Medical Education and Research
引用
收藏
页码:101 / 119
页数:19
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