Abstract
Multiple myeloma is one of the common plasma cell dyscrasia. it has heterogenous clinical presentation, and it can involve multiple organs. Its prevalence is more common in males than in females, and in black population. Etiology of multiple myeloma include radiation exposure, exposure to variety of carcinogens, chronic antigenic stimulation, autoimmunity.
There has been a significant change in treatment modality of multiple myeloma. The median survival of multiple myeloma patients was less than a year before the introduction of alkylating agents. Introduction of Melphalan, high-dose chemotherapy and stem cell have demonstrated a survival advantage compared with patients undergoing conventional chemotherapy. The introduction of Thalidomide was a major milestone in the treatment of multiple myeloma, and its analog Lenalidomide and the proteasome inhibitor Bortezomib have expanded the therapeutic spectrum for multiple myeloma. With development of newer chemotherapy regimens, quality of life has improved, but at the same time these newer regimens are associated with specific side effects.
Keywords: Multiple myeloma, staging, electrophoresis, chemotherapy, relapse.
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Corresponding Author
Shruthi Vitalarao Kulkarni
Senior Resident, Dept. of General Medicine
DOI: https://dx.doi.org/10.18535/jmscr/v8i12.19
