Defining and treating high-risk multiple myeloma

被引:56
作者
Usmani, S. Z. [1 ]
Rodriguez-Otero, P. [2 ]
Bhutani, M. [1 ]
Mateos, M-V [3 ]
Miguel, J. S. [2 ]
机构
[1] Carolinas HealthCare Syst, Levine Canc Inst, Dept Hematol Oncol Blood Disorders & Bone Marrow, Charlotte, NC 28204 USA
[2] Univ Navarra Clin, Dept Hematol, CIMA, IDISNA, Navarra, Spain
[3] Univ Hosp Salamanca, IBSAL, Dept Hematol, Salamanca, Spain
关键词
STEM-CELL TRANSPLANTATION; SINGLE-AGENT CARFILZOMIB; GENETIC ABNORMALITIES; INTERGROUPE FRANCOPHONE; RANDOMIZED PHASE-3; PROGNOSTIC-FACTOR; INITIAL THERAPY; STAGING SYSTEM; SURVIVAL; IMPACT;
D O I
10.1038/leu.2015.209
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Multiple myeloma (MM) is more recently being recognized as a heterogeneous group of disease with variability in outcomes based on specific clinical and biologic predictors. MM patients can be broadly categorized into standard, intermediate and high risk for disease relapse, morbidity and mortality. The high-risk features include patient-specific factors such as old age, poor performance status and comorbidities; clinical features such as primary plasma cell leukemia and extramedullary disease; disease-specific biologic features such as deletion 17p, t(4;14) and high-risk gene expression profiling signatures. The current paper reviews the available data on best therapeutic approaches for high-risk MM.
引用
收藏
页码:2119 / 2125
页数:7
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