Multiple myeloma is a disorder in which malignant plasma cellsaccumulate in the bone marrow and produce an immunoglobulin,usually monoclonal IgG or IgA. Common complications of overtmultiple myeloma include recurrent bacterial infections, anemia,osteolytic lesions, and renal insufficiency. Multiple myelomais responsible for about 1 percent of all cancer-related deathsin 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 markedby the presence in the serum of monoclonal IgG or IgA withoutevidence of multiple myeloma. This type of gammopathy is relativelycommon; 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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