Suzuki Kenshi, Takahashi Haruka
Nihon Rinsho. 2015 Jan;73(1):7-12.
We investigated epidemiology of multiple myeloma (MM), referring to recent papers. This article includes three points: 1) the progression rate of monoclonal gammopathy of undetermined significance (MGUS) to MM, 2) the effect of radiation to prevalence of MM, and 3) secondary malignancy after chemotherapy used to treat MM. The risk of progression from MGUS to MM is 1% per year. The researches of atomic bomb showed that there is no increase of risk of MM after radiation exposure. In contrast, studies investigating workers in nuclear power plants point out that radiation exposure over 50 mSv increases risk of MM. The incidence of secondary malignancy after chemotherapy used to treat MM was about 5%. This article will help to review recent researches about epidemiology of MM.
我们参考近期论文对多发性骨髓瘤(MM)的流行病学进行了调查。本文包括三点:1)意义未明的单克隆丙种球蛋白病(MGUS)进展为MM的速率,2)辐射对MM患病率的影响,以及3)用于治疗MM的化疗后的继发性恶性肿瘤。MGUS进展为MM的风险为每年1%。原子弹研究表明,辐射暴露后MM风险没有增加。相比之下,对核电站工人的研究指出,超过50毫希沃特的辐射暴露会增加MM风险。用于治疗MM的化疗后继发性恶性肿瘤的发生率约为5%。本文将有助于回顾近期关于MM流行病学的研究。