J Natl Compr Canc Netw. 2017 Feb;15(2):230-269. doi: 10.6004/jnccn.2017.0023.
Multiple myeloma (MM) is caused by the neoplastic proliferation of plasma cells. These neoplastic plasma cells proliferate and produce monoclonal immunoglobulin in the bone marrow causing skeletal damage, a hallmark of multiple myeloma. Other MM-related complications include hypercalcemia, renal insufficiency, anemia, and infections. The NCCN Multiple Myeloma Panel members have developed guidelines for the management of patients with various plasma cell dyscrasias, including solitary plasmacytoma, smoldering myeloma, multiple myeloma, systemic light chain amyloidosis, and Waldenström's macroglobulinemia. The recommendations specific to the diagnosis and treatment of patients with newly diagnosed MM are discussed in this article.
多发性骨髓瘤(MM)是由浆细胞的肿瘤性增殖引起的。这些肿瘤性浆细胞在骨髓中增殖并产生单克隆免疫球蛋白,导致骨骼损伤,这是多发性骨髓瘤的一个特征。其他多发性骨髓瘤相关并发症包括高钙血症、肾功能不全、贫血和感染。NCCN 多发性骨髓瘤专家组制定了针对各种浆细胞异常患者的管理指南,包括孤立性浆细胞瘤、冒烟型骨髓瘤、多发性骨髓瘤、系统性轻链淀粉样变性和华氏巨球蛋白血症。本文讨论了针对新诊断为 MM 的患者的诊断和治疗的具体建议。