Extramedullary Multiple Myeloma: Challenges and Opportunities.

IF 2.8 4区 医学 Q2 ONCOLOGY
Matthew Ho, Luca Paruzzo, Janna Minehart, Neel Nabar, Julia Han Noll, Thomas Luo, Alfred Garfall, Saurabh Zanwar
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引用次数: 0

Abstract

Extramedullary multiple myeloma (EMM), defined in this review as soft tissue plasmacytomas resulting from hematogenous spread, is characterized by the ability of MM cells to proliferate outside of the bone marrow microenvironment. It is aggressive, often associated with high-risk cytogenetics and early relapse, and independently portends significantly shorter progression-free and overall survival, even in the era of highly effective immunotherapies. The molecular and microenvironmental factors underlying extramedullary MM dissemination continue to be studied to inform the development of better treatments. In this review, we discuss our current understanding of the biology of EMM, focusing on its distinct molecular and microenvironmental characteristics vis-à-vis MM. We also review the current treatment strategies, acknowledging the paucity of large, randomized studies specific to this population.

髓外多发性骨髓瘤:挑战与机遇。
髓外多发性骨髓瘤(EMM),在本综述中定义为由血液扩散引起的软组织浆细胞瘤,其特征是MM细胞在骨髓微环境外增殖的能力。它具有侵袭性,通常与高危细胞遗传学和早期复发相关,并且独立预示着显著缩短的无进展期和总生存期,即使在高效免疫疗法的时代。继续研究髓外MM传播的分子和微环境因素,以提供更好的治疗方法。在这篇综述中,我们讨论了我们目前对EMM生物学的理解,重点关注其独特的分子和微环境特征-à-vis MM。我们还回顾了目前的治疗策略,承认缺乏针对这一人群的大型随机研究。
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来源期刊
Current oncology
Current oncology ONCOLOGY-
CiteScore
3.30
自引率
7.70%
发文量
664
审稿时长
1 months
期刊介绍: Current Oncology is a peer-reviewed, Canadian-based and internationally respected journal. Current Oncology represents a multidisciplinary medium encompassing health care workers in the field of cancer therapy in Canada to report upon and to review progress in the management of this disease. We encourage submissions from all fields of cancer medicine, including radiation oncology, surgical oncology, medical oncology, pediatric oncology, pathology, and cancer rehabilitation and survivorship. Articles published in the journal typically contain information that is relevant directly to clinical oncology practice, and have clear potential for application to the current or future practice of cancer medicine.
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