Abstract:
:Conventional chemotherapies are no longer the only treatment in multiple myelomatosis. High-dose chemotherapy and autologous transplantation are not curative but do increase relapse-free survival time in young patients. Thalidomide is efficacious in refractory and relapsing myeloma and its evaluation is going on. Curative and preventive treatments of skeletal events, infections and anemia improve quality of life. All together, these strategies imply therapeutic knowledge and choices but allow an about 5-year-long median survival time in modern studies. Treatment options for myeloma now include, not only conventional chemotherapy regimens, but also novel symptomatic drugs and strategies that increase survival and/or quality of life, although they fail to provide a cure. In parallel with this expansion of the treatment armamentarium, physicians must acquire the knowledge needed to select the best treatment for the individual patient. After reviewing the rationale, effectiveness, and safety of each of these treatments, we will discuss the indications that we believe are legitimate.
journal_name
Joint Bone Spinejournal_title
Joint bone spineauthors
Clerc D,Fermand JP,Mariette Xdoi
10.1016/s1297-319x(03)00018-6subject
Has Abstractpub_date
2003-06-01 00:00:00pages
175-86issue
3eissn
1297-319Xissn
1778-7254pii
S1297319X03000186journal_volume
70pub_type
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