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Review Article
Medical Progress
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Volume 336:1657-1664 June 5, 1997 Number 23
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Multiple Myeloma
Régis Bataille, M.D., Ph.D., and Jean-Luc Harousseau, M.D.

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Multiple myeloma is a disorder in which malignant plasma cells accumulate in the bone marrow and produce an immunoglobulin, usually monoclonal IgG or IgA. Common complications of overt multiple myeloma include recurrent bacterial infections, anemia, osteolytic lesions, and renal insufficiency. Multiple myeloma is responsible for about 1 percent of all cancer-related deaths in Western countries. Its epidemiologic pattern remains obscure, and its cause is unknown.1

Monoclonal Gammopathy of Undetermined Significance and the Natural History of Multiple Myeloma

A monoclonal gammopathy of undetermined significance is marked by the presence in the serum of monoclonal IgG or IgA without evidence of multiple myeloma. This type of gammopathy is relatively common; it occurs in about . . . [Full Text of this Article]

Clinical Features of Multiple Myeloma

The Biology of Normal and Malignant Plasma Cells

Multiple Myeloma as a Multistep Process

Interleukin-6 and the Bone Marrow Microenvironment

Therapy

Conventional-Dose Chemotherapy

High-Dose Therapy

Interferon Alfa

New Supportive Therapies

            Bisphosphonates

            Erythropoietin

Future Approaches


Source Information

From the Laboratory of Hematology, Institute of Biology (R.B.), and the Department of Clinical Oncology and Hematology (J.-L.H.), University Hospital, Nantes, France.

Address reprint requests to Dr. Bataille at the Laboratoire d'Hématologie, Institut de Biologie, 9, Quai Moncousu, 44035 Nantes CEDEX 01, France.

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