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Risk factors of Developing Symptomatic Myeloma from MGUS: analysis in our hospital

Authors :
Y. Katayama
Hideki Asaoku
K. Iwato
K. Kyo
T. Ochi
T. Okatani
T. Kyo
R. Imanaka
K. Toishikawa
Mitsuhiro Itagaki
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