Abstract

Secondary primary malignancies (SPM) are an emerging issue in patients with multiple myeloma (MM) since the lenalidomide arm of the French IFM 2005-02 trial has been closed as a consequence of a higher incidence of SPM in patients who had received lenalidomide as maintenance treatment compared to the patients in the placebo arm. To evaluate the incidence of SPM in the group of patients, who were treated with high-dose therapy (HDT) followed by autologous peripheral blood stem cell transplantation (PBSCT), we retrospectively looked at a homogeneous group of 313 consecutive patients, who were diagnosed with MM and had received HDT and autologous PBSCT at our hospital between December 1994 and January 2009. Induction treatment consisted of conventional chemotherapy without novel agents in 95% of patients and maintenance treatment was given with interferon or thalidomide in 37% und 35% of patients, respectively. Roland Fenk, Florian Neubauer, Ingmar Bruns, Christian Saure, Thomas Schroder, Ulrich Germing, Rainer Haas and Guido Kobbe

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