Conventional therapy and approach to management

S. Vincent Rajkumar, Robert A. Kyle

Research output: Contribution to journalReview articlepeer-review

8 Scopus citations

Abstract

The treatment of multiple myeloma (MM) has undergone major changes in the last decade. There is now an array of therapeutic options, including autologous stem-cell transplantation, non-myeloablative (mini) allogeneic transplantation, and new drugs such as thalidomide and bortezomib. There is also an awareness that there are subsets of patients with MM who have not gained much from the recent advances, including patients with certain adverse prognostic factors (high-risk MM). In this article, we outline our approach to the diagnosis, risk stratification and treatment of MM with a focus on conventional therapy. We incorporate a risk-based strategy for the treatment of MM that also takes into account the eligibility of the patient to undergo stem-cell transplantation. We also outline the role and current indications for the use of new active agents in this disease.

Original languageEnglish (US)
Pages (from-to)585-601
Number of pages17
JournalBest Practice and Research: Clinical Haematology
Volume18
Issue number4 SPEC. ISS.
DOIs
StatePublished - Dec 2005

Keywords

  • Bortezomib
  • Chemotherapy
  • Corticosteroids
  • Melphalan
  • Myeloma
  • Thalidomide
  • Transplantation

ASJC Scopus subject areas

  • Oncology
  • Clinical Biochemistry

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