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2022, Number 3

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Rev Cubana Hematol Inmunol Hemoter 2022; 38 (3)

Predictors of early mortality in the new diagnosis multiple myeloma

Figueredo PYE, Cuétara LEB, Pérez BMJ

Language: Spanish
References: 52
Page: 1-16
PDF size: 489.26 Kb.


ABSTRACT

Introduction: Multiple Myeloma is a malignant B-cell neoplasm characterized by uncontrolled clonal proliferation of plasma cells. Early mortality in newly diagnosed Multiple Mieloma is defined as the percentage of death that occurs six months or less after diagnosis and, it affects 10 to 14 % of the cases. Biomarkers have evolved from the characterization of tumor to the recognition of chromosomal and molecular aberrations that play a rol in survival.
Objective: To describe the main predictors identified related to early mortality and their role in the pathogenesis of the disease.
Methods: The scientific literature was analyzed using search engines such as Google Scholar, PubMed and ScienceDirect. Consulted articles were 80 and included articles were 52, mostly from the last five years.
Analysis and information synthesis: Genetic and epigenetic mechanisms that contribute decisively in the early mortality in new diagnosis Multiple Myeloma patients were evidenced.
Conclusions: The increased risk of early mortality in patients with newly diagnosed Multiple Myeloma is associated with clinical and biological factors and there is a need to stratify patients in terms of early mortality risk for personalized management, for which it is imposed the use of clinics and biological data in an integrative way.


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