Unmaintained remissions in multiple myeloma.

Abstract:

:Twenty-eight patients with multiple myeloma responding to prior melphalan-prednisone combinations, but without additional chemotherapy, were followed until relapse. Patients receiving no further treatment had a median survival time similar to that of those receiving indefinite courses of melphalan-prednisone or carmustine-prednisone. Prolonged periods of unmaintained remission occurred primarily in patients without extensive disease at the time of diagnosis or in whom the abnormal protein disappeared from the electrophoresis strip. The initial relapse after an unmaintained remission was controlled in 80% of patients with the resumption of melphalan-prednisone, but second remissions were usually less marked in degree and shorter in duration. Results supported the long-term evaluation without chemotherapy of selected patients with low numbers of plasma cells after treatment who were likely to experience long durations of disease stability and respond again to retreatment with melphalan-prednisone.

journal_name

Blood

journal_title

Blood

authors

Alexanian R,Gehan E,Haut A,Saiki J,Weick J

subject

Has Abstract

pub_date

1978-06-01 00:00:00

pages

1005-11

issue

6

eissn

0006-4971

issn

1528-0020

journal_volume

51

pub_type

杂志文章

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