Abstract

Инфекционные осложнения у пациентов с множественной миеломой, перенесших аутологичную трансплантацию стволовых клеток периферической крови

Highlights

  • Over recent decades, significant advances were made in treatment of hematological malignancies, which were primarily associated with intensive antitumor therapy and hematopoietic stem cell transplantation (HSCT)

  • Our results demonstrate that bacterial complications and viral (CMV and Epstein-Barr virus (EBV)) reactivation aggravate the course of primary disease in MM patients over the post-transplant period

  • Significant advances were made in treatment of hematological malignancies, which were primarily associated with intensive antitumor therapy and hematopoietic stem cell transplantation (HSCT)

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Summary

Introduction

Significant advances were made in treatment of hematological malignancies, which were primarily associated with intensive antitumor therapy and hematopoietic stem cell transplantation (HSCT). Probability of 10-year survival among hematological cancer patients subjected to HSCT is 85%, as shown by the large study performed by Wingard et al [1]. Multiple myeloma accounts for approximately 10% of oncohematological disorders, and 1% of total cancer incidence. The concept of high-dose chemotherapy followed by autologous HSCT was dated back to early 980s and remains the ‘golden standard’ for treating newly diagnosed MM in young and some older patients. The advent of novel agents, such as immunomodulatory drugs, proteasome inhibitors and monoclonal antibodies does not compete with ASCT. The novel approaches supported its central role as the standard of care [2]

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