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CAR-T细胞治疗后复发/难治性多发性骨髓瘤合并肝脏髓外病变患者实现严格完全缓解:1例报告

Achieving stringent complete remission in relapsed/refractory multiple myeloma with liver extramedullary disease after CAR‑T cell therapy: A case report.

作者信息

Zhou Lingyun, Liu Danbo, Du Fang, Chen Jiao, Lu Wenyi, Xiang Hongxian, Chen Haifei

机构信息

Department of Hematology, Shenzhen Luohu People's Hospital, Shenzhen, Guangdong 518000, P.R. China.

出版信息

Oncol Lett. 2025 Mar 28;29(5):253. doi: 10.3892/ol.2025.14999. eCollection 2025 May.

Abstract

Multiple myeloma (MM) is a clonal plasma cell malignancy characterized by bone marrow infiltration and the presence of monoclonal proteins in the blood and urine. However, despite the advances that have been made in terms of its treatment, relapsed/refractory MM (RRMM) remains a significant challenge. Chimeric antigen receptor (CAR)-T cell therapy, which involves the engineering of T-cells to express CARs targeting specific antigens on tumor cells, has emerged as a promising therapeutic approach for RRMM. The present case report presents a patient with RRMM with liver extramedullary disease (EMD) who achieved stringent complete remission following CAR-T cell therapy. This case report highlights the efficacy of CAR-T cell therapy in treating RRMM, also discussing the patient's clinical course, treatment outcomes and side effects, and moreover, a review of the literature that focuses on the treatment of EMD using CAR-T cell therapy.

摘要

多发性骨髓瘤(MM)是一种克隆性浆细胞恶性肿瘤,其特征为骨髓浸润以及血液和尿液中存在单克隆蛋白。然而,尽管在其治疗方面已取得进展,但复发/难治性多发性骨髓瘤(RRMM)仍然是一项重大挑战。嵌合抗原受体(CAR)-T细胞疗法,即对T细胞进行改造使其表达靶向肿瘤细胞上特定抗原的CAR,已成为一种有前景的RRMM治疗方法。本病例报告介绍了一名患有RRMM并伴有肝脏髓外疾病(EMD)的患者,该患者在接受CAR-T细胞治疗后实现了严格的完全缓解。本病例报告强调了CAR-T细胞疗法在治疗RRMM方面的疗效,还讨论了患者的临床病程、治疗结果和副作用,此外,还对专注于使用CAR-T细胞疗法治疗EMD的文献进行了综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c06a/11977452/3406133c073b/ol-29-05-14999-g00.jpg

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