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不进行异基因移植能治愈骨髓瘤吗?

Is it possible to cure myeloma without allogeneic transplantation?

作者信息

Katodritou Eirini, Papadaki Sofia, Konstantinidou Pavlina, Terpos Evangelos

机构信息

Department of Hematology, Theagenion Cancer Hospital, Thessaloniki, Greece; Greek Myeloma Study Group, Athens, Greece.

Department of Hematology, Theagenion Cancer Hospital, Thessaloniki, Greece.

出版信息

Transfus Apher Sci. 2016 Feb;54(1):63-70. doi: 10.1016/j.transci.2016.01.015. Epub 2016 Jan 21.

Abstract

During the last decades, a better understanding of the biology of multiple myeloma (MM) has led to the application of novel treatment strategies for MM patients. The new anti-myeloma regimens produce higher incidence of durable and of better quality responses and they improve overall survival, challenging the dogma of incurable disease, outside the context of allogeneic transplantation. This review presents all these strategies that aim to cure MM, including continuous treatment i.e. induction, consolidation and maintenance, treatment of asymptomatic MM and monitoring minimal residual disease using modern techniques, such as multi-parameter flow cytometry, molecular assays and advanced imaging.

摘要

在过去几十年中,对多发性骨髓瘤(MM)生物学特性的深入了解促使了针对MM患者的新型治疗策略的应用。新的抗骨髓瘤方案产生持久且质量更好的缓解的发生率更高,并且改善了总生存期,在异基因移植背景之外挑战了不可治愈疾病的教条。本综述介绍了所有这些旨在治愈MM的策略,包括持续治疗,即诱导、巩固和维持治疗,无症状MM的治疗以及使用现代技术监测微小残留病,如多参数流式细胞术、分子检测和先进成像技术。

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