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Presse Med ; 48(7-8 Pt 1): 825-831, 2019.
Article in French | MEDLINE | ID: mdl-31447337

ABSTRACT

Diagnosis criteria have been revised in 2014 and allow the treatment of some asymptomatic patients. Since 2015, a new prognostic score includes tumor plasma cells chromosomal abnormalities. It helps in the distinction between "standard risk" and "high risk" myelomas. Scanner, MRI and Pet Scan are the radiological reference exams to evaluate bone involvement. Alkylating agents, immunomodulators, proteasome inhibitors, and monoclonal antibodies became the most important antitumoral treatments. Risk notion will become more and more important for therapeutic choices. These choices will depend on residual disease evaluation. The next decade will be the immunotherapies development decade.


Subject(s)
Early Detection of Cancer/trends , Medical Oncology/trends , Multiple Myeloma/diagnosis , Multiple Myeloma/therapy , Therapies, Investigational/trends , Antibodies, Monoclonal/therapeutic use , Combined Modality Therapy/trends , Early Detection of Cancer/methods , Early Detection of Cancer/standards , Humans , Immunologic Factors/therapeutic use , Immunotherapy/methods , Immunotherapy/trends , Medical Oncology/methods , Medical Oncology/standards , Multiple Myeloma/pathology , Practice Guidelines as Topic , Prognosis , Therapies, Investigational/methods
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