Zhonghua Xue Ye Xue Za Zhi. 2024 Dec 14;45(12):1065-1070. doi: 10.3760/cma.j.cn121090-20241111-00444.
The application of standardized criteria to evaluate treatment efficacy is crucial for guiding therapeutic decisions, assessing prognosis, and interpreting outcomes in treating multiple myeloma (MM). The unique characteristics of MM make its response assessment more complex compared with other malignancies. It primarily depends on serum and urine M protein levels, combined with the number of plasma cells in the bone marrow and comprehensive imaging findings. Recently, the emergence of novel therapeutics has led to significant improvements in MM outcomes. Minimal residual disease (MRD) detection determines deeper remission states. The clinical significance of MRD monitoring is now widely recognized. The Chinese Society of Clinical Oncology (CSCO) MM Expert Committee and the Hematologic Oncology Committee of the Chinese Anti-Cancer Association (CACA) have gathered relevant experts to develop the guidelines based on these advancements, aiming to provide a comprehensive reference for response assessment in MM.
应用标准化标准评估治疗疗效对于指导多发性骨髓瘤(MM)治疗决策、评估预后及解读治疗结果至关重要。与其他恶性肿瘤相比,MM的独特特征使其反应评估更为复杂。它主要取决于血清和尿液M蛋白水平,结合骨髓中浆细胞数量及综合影像学表现。近年来,新型疗法的出现使MM治疗结果有了显著改善。微小残留病(MRD)检测可确定更深层次的缓解状态。目前,MRD监测的临床意义已得到广泛认可。中国临床肿瘤学会(CSCO)MM专家委员会和中国抗癌协会血液肿瘤专业委员会召集相关专家,基于这些进展制定了本指南,旨在为MM反应评估提供全面参考。