The introduction of melphalan and prednisone for the treatmentof multiple myeloma was followed by only minor advances in themanagement of the disease for almost 20 years.1 The failureof other agents, alone or in combination, to extend survivalbeyond three years prompted a new treatment strategy in theearly 1980s: myeloablative doses of melphalan supported by aninfusion of autologous hematopoietic stem cells. After thisapproach was found to be superior to conventional chemotherapyfor the initial treatment of myeloma, the efficacy of two sequentialcourses of high-dose therapy, each supported by an infusionof autologous stem cells, . . . [Full Text of this Article]
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From the Institute of Hematology and Medical Oncology Seràgnoli, University of Bologna, Bologna, Italy.
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