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适合移植的多发性骨髓瘤患者治疗研究进展
引用本文:郭欢. 适合移植的多发性骨髓瘤患者治疗研究进展[J]. 白血病.淋巴瘤, 2014, 23(9): 564-566
作者姓名:郭欢
作者单位:100020,首都医科大学附属北京朝阳医院血液科
基金项目:国家自然科学基金,首都临床特色应用研究专项资助课题
摘    要:适合移植的多发性骨髓瘤(MM)患者的治疗通常采用三药方案诱导治疗后行造血干细胞采集.对于适合移植患者的标准预处理方案是大剂量美法仑方案.移植后行巩固治疗可提高缓解率.为了获得长期的疾病控制和改善总生存期,用硼替佐米或来那度胺(极高危患者二者联合)进行维持治疗是较合理的选择.随着新药在MM治疗中的应用,患者预后将会得到改善并获得长期的疾病控制.

关 键 词:多发性骨髓瘤  治疗方案  造血干细胞移植

Research progress of strategies for transplantation-eligible multiple myeloma patients
Guo Huan. Research progress of strategies for transplantation-eligible multiple myeloma patients[J]. Journal of Leukemia & Lymphoma, 2014, 23(9): 564-566
Authors:Guo Huan
Affiliation:Guo Huan(Department of Hematology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China)
Abstract:For transplantation-eligible multiple myeloma patients,induction treatment of triple drug regimens followed by the collection of hematopoietic stem cells is generally recommended.For transplantationeligible patients,high-dose melphalan remains the standard regimen.Consolidation after transplantation has shown an improvement in response rates.Maintenance therapy with bortezomib or lenalidomide (or both in very-high-risk patients) is a reasonable option for long-term disease control and improvement in overall survival.Application of new agents into therapy of multiple myeloma should result in improved outcomes and long-term disease control.
Keywords:Multiple myeloma  Therapy protocols  Hematopoietic stem cell transplantation
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