Множественная миелома: диагностика и терапия (часть 1)
Автор: Бессмельцев С.С.
Журнал: Вестник гематологии @bulletin-of-hematology
Рубрика: Передовая статья
Статья в выпуске: 2 т.18, 2022 года.
Бесплатный доступ
Множественная миелома (ММ) - это гетерогенное заболевание, определяемое клональной пролиферацией плазматических клеток, гематологическая опухоль, которая составляет 1,0-1,8% среди всех видов онкологических заболеваний. Первоначальная диагностика включает необходимые базовые лабораторные исследования: исследование периферического мазка крови, креатинин в сыворотке крови, клиренс креатинина, сывороточный кальций, альбумин, лактатдегидрогеназа и бета-2 микроглобулин. Исследование костного мозга на начальном этапе должно включать анализ хромосом методом флуоресцентной гибридизации in situ (FISH), выполняемый на плазматических клетках, полученных при аспирации костного мозга. В последние десятилетия в результате широкого применения аутологичной трансплантации гемопоэтических стволовых клеток (аутоТГСК) и новых, весьма эффективных лекарственных средств, существенно улучшились показатели выживаемости пациентов с множественной миеломой. Для пациентов
Множественная миелома, бортезомиб, леналидомид, моноклональные антитела, полная ремиссия, общая выживаемость, аутологичная трансплантация гемопоэтических стволовых клеток
Короткий адрес: https://sciup.org/170195750
ID: 170195750
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