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[采用新型药物实现完全缓解的IgE-κ型多发性骨髓瘤]

[IgE-κ type multiple myeloma achieving complete response with novel agents].

作者信息

Takei Tomomi, Ishida Tadao, Ikeda Masahiro, Shingaki Sumito, Miyazaki Kanji, Yoshiki Yumiko, Abe Yu, Okazuka Kiyoshi, Iki Seiko, Tsukada Nobuhiro, Suzuki Kenshi

机构信息

Department of Hematology, Japanese Red Cross Medical Center.

出版信息

Rinsho Ketsueki. 2017;58(11):2232-2237. doi: 10.11406/rinketsu.58.2232.

Abstract

IgE multiple myeloma (MM) is a rare subtype of MM characterized by an aggressive and poor prognosis. Although novel agents have improved the prognosis of MM, there are few case reports of IgE MM treated with these agents. A 53-year-old male patient presented with pain in the right rib and was diagnosed with IgE-κ MM. He was treated with multidrug chemotherapy, including bortezomib and lenalidomide, and underwent autologous stem-cell transplantation (ASCT). Finally, he achieved a complete response after the initiation of pomalidomide. In previous reports, majority of patients with refractory IgE MM treated with novel agents had a poor prognosis. In contrast, patients who were treated with novel agents from the beginning and underwent ASCT had a long-term survival. Overall, the use of novel agents as the first-line therapy is expected to improve IgE MM prognosis.

摘要

免疫球蛋白E多发性骨髓瘤(MM)是MM的一种罕见亚型,其特征为侵袭性强且预后不良。尽管新型药物改善了MM的预后,但关于使用这些药物治疗IgE MM的病例报告却很少。一名53岁男性患者因右肋疼痛就诊,被诊断为IgE-κ MM。他接受了包括硼替佐米和来那度胺在内的多药化疗,并接受了自体干细胞移植(ASCT)。最后,在开始使用泊马度胺后他获得了完全缓解。在既往报告中,多数接受新型药物治疗的难治性IgE MM患者预后不良。相比之下,从一开始就接受新型药物治疗并接受ASCT的患者生存期较长。总体而言,将新型药物用作一线治疗有望改善IgE MM的预后。

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