多发性骨髓瘤是一种多发性骨髓瘤
1Institute of Cancer Research and Royal Marsden NHS Trust, Downs Road, Sutton, Surrey SM2 5PT, UK.
Lancet (London, England)
|March 20, 2004
概括
多发性骨髓瘤治疗的近期进展显著改善了患者的治疗结果. 新型疗法,包括生物治疗,为这种血细胞恶性瘤的更长生存和缓解提供了新的希望.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 细胞生物学 细胞生物学
背景情况:
- 多发性骨髓瘤是一种血细胞恶性瘤,其特征是骨损伤,单克隆蛋白和骨髓参与.
- 在过去的十年中,治疗模式发生了显著的进化.
研究的目的:
- 总结一下多发性骨髓瘤治疗的当前状况.
- 突出化疗,支持性护理和新型生物疗法的进展.
主要方法:
- 对多发性骨髓瘤当前治疗方案的审查.
- 包括支持性护理,输液化疗,高剂量梅尔法兰和自身移植.
- 集成新兴的生物治疗方法,以骨髓瘤细胞和骨髓微环境为目标.
主要成果:
- 年轻患者 (70岁以下) 的中位生存期 (5年) 翻了一番,长期生存率 (20%>10年) 改善.
- 通过现代治疗方案,可以实现完全缓解的高率 (50%).
- 双酸盐对于治疗骨疾病至关重要.
结论:
- 现代治疗策略已经大大提高了多发性骨髓瘤患者的生存率和缓解率.
- 针对疾病发病的生物疗法代表了多发性骨髓瘤管理的未来.
- 多学科的护理,包括双酸盐和新药,对于最佳的结果至关重要.
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