Multiples Myelom

Autor: A D Ho, T M Möhler, H. Goldschmidt, F W Cremer
Rok vydání: 2003
Předmět:
Zdroj: Der Internist. 44:599-618
ISSN: 1432-1289
0020-9554
DOI: 10.1007/s00108-003-0920-x
Popis: Multiple myeloma is one of the 20 most frequent malignancies in Germany. Initial symptoms are usually non-specific. Assessment of bone marrow and laboratory data as well as imaging techniques are essential for diagnosis and prognostic evaluation. Data from molecular cytogenetics have led to a better understanding of the pathogenesis of multiple myeloma. Cytostatic therapy with alcylating agents and glucocorticoids prolongs the survival. High-dose therapy followed by transplantation of autologous hematopoietic stem cells improves prognosis for patients up to the age of 70. Currently, modifications of allogeneic hematopoietic stem cell transplantation, anti-angiogeneic and immunomodulatory drugs as well as proteasome inhibitors are evaluated in clinical trials. Supportive care has derived benefit from the introduction of new bisphosphonates.
Databáze: OpenAIRE