Hematology Service, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Mexico.
Discipline of Hematology and Oncology, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, Brazil.
Hematology. 2022 Dec;27(1):928-931. doi: 10.1080/16078454.2022.2112643.
Multiple myeloma in Latin America (LATAM) face multiple challenges related to the lack of resources according to low- and middle-income in the region.
in this narrative review, several aspects of myeloma multiple epidemiology, diagnostic methods and risk stratification, medication commonly employed, and treatment results in LATAM are discussed.
Patients usually are diagnosed in an advanced stage of the disease, and routine and risk evaluations are usually not ideal due to lack of access to different studies. Treatment is limited in many cases to the use of thalidomide and dexamethasone with and without cyclophosphamide. Access to autologous stem cell transplantation is far from ideal. Efforts must be made at the national health system level in our countries to offer our vast majority of MM patients a real chance to improve results in the diagnostic, risk stratification, and treatment. Currently, several groups in our region are working to make an impact in the field of MM.
根据该地区的中低收入情况,拉丁美洲(LATAM)的多发性骨髓瘤面临着与资源匮乏相关的多重挑战。
在这篇叙述性综述中,讨论了多发性骨髓瘤的多个方面,包括流行病学、诊断方法和风险分层、常用药物以及 LATAM 的治疗结果。
患者通常在疾病的晚期被诊断出来,由于无法获得不同的研究,常规和风险评估通常不理想。在许多情况下,治疗仅限于使用沙利度胺和地塞米松,加或不加环磷酰胺。自体干细胞移植的获得远不理想。我们各国必须在国家卫生系统层面上做出努力,为我们绝大多数 MM 患者提供真正的机会,以改善诊断、风险分层和治疗方面的结果。目前,我们地区的几个团体正在努力在 MM 领域产生影响。