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Risk factors of Developing Symptomatic Myeloma from MGUS: analysis in our hospital
- Source :
- Clinical Lymphoma Myeloma and Leukemia. 15:e102
- Publication Year :
- 2015
- Publisher :
- Elsevier BV, 2015.
-
Abstract
- e102 Durie-Salmon Stage: IA: 9.8%, IB: 1.6%, II-A: 27.6%, IIB: 8.9%, III-A: 21.1%, III-B: 21.1%. ISS: I: 25.2%, II: 32.5%, III: 23.6%. The 21.1% of patients were not included in the analysis of response by uncompleted treatment. Response at end of therapy: minimal response: 5.1%, PR: 44.3%, VGPR: 16.5%, CR: 14.4% SR: 7.2%, Failure: 12.5%. During follow-up 65.7% patients, who achieved at least PR had clinical relapsed/progressed, in 86.9% of them, a previous EBR were detected at a mean of 4.4 months before; methods who detected BER: FLCr (28.8%), HLCr (13.5%), FLC+SPE+IFX (9.6%), FLC+IFX (5.8%), FLC+HLC+SPE (28.8%), FLC+HLC+SPE+UPE (5.7%) Median PFS 20 months (12.8-27.1) Biological PFS: 18 m (12.1-23.8). Conclusion: Both FLC and HLC are sensitive and accurate tools to perform MRD assessment response in MM, in our cohort a 42.3% of EBR were detected ahead of other techniques. More investigations on this field are warranted
Details
- ISSN :
- 21522650
- Volume :
- 15
- Database :
- OpenAIRE
- Journal :
- Clinical Lymphoma Myeloma and Leukemia
- Accession number :
- edsair.doi...........9657fc483a9ff2d31a051cf3e188d4cb
- Full Text :
- https://doi.org/10.1016/j.clml.2015.07.271