Auch heute noch gibt es für Patienten mit multiplem
Myelom kein Therapieverfahren mit einem gesicherten kurativen Potential. Im
Gegensatz zu den 70er und 80er Jahren, in denen sich seit Einführung der
Therapie mit Melphalan und Prednison durch Alexanian kein relevanter
Therapiefortschritt ergeben hat, konnte all durch Etablierung von
Hochdosischemotherapie mit Blutstammzelltransplantation eine signifikante
Verbesserung der Überlebenszeit bei jüngeren Patienten erreicht
werden. Weitere Verbesserungen der Therapieergebnisse haben sich insbesondere
durch die Gabe von Bisphosphonaten und α-Interferon ergeben. Vor dem
Hintergrund dieser aktuellen Entwicklungen soll ein Überblick über
die derzeit möglichen Therapieoptionen bei Patienten mit multiplem Myelom
gegeben werden.
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Korrespondenz
Prof. Dr. Axel Heyll
Klinik für
Hämatologie, Onkologie und klinische Immunologie Medizinische
Klinik und Poliklinik Universität
Düsseldorf
Postfach 101007
40001
Düsseldorf
Phone: 0211/81-17724, -17720
Fax: 0211/8118853