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Melphalan-Related Leukemia in Multiple Myeloma
Authors:Anders Wahlin,G  ran Roos,Olle Rudolphi,Jan Holm
Affiliation:Anders Wahlin,Göran Roos,Olle Rudolphi,Jan Holm
Abstract:ABSTRACT. Five patients with multiple myeloma ending in acute leukemia are described. The preleukemic phase was characterized by anemia, leukopenia and/or thrombocytopenia. The incidence of acute leukemia in myeloma was calculated to be 6%. Melphalan therapy for more than two years increased the incidence to 14%. All patients who developed leukemia had received a total melphalan dose of at least 1100 mg.
Keywords:multiple myeloma  leukemia  melphalan
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