Multiple myeloma Flashcards
Flow cytometry in multiple myeloma
CD138, CD 19,CD 56
Site of lytic bone lesions in MM
Skull , long bones- rare below elbow and knee
Prognostic markers in MM
B2 microglobulin, albumin, LDH, CRP, Labelling index
Cytogenetics -bad->Chr 13 deletion,hypodiploidy, t(4:14),(14,16)
Hematological causes of monoclonal band other than MM
MGUS, Waldenstroms, NHL, CLL, amyloid (AL)
Non hematological causes of monoclonal band
Autoimmune, chronic infection, Hep C, neuropthies, immune dermopathies
Monoclonal antibody in MM
Daratumumab (anti-CD38)
Elotuzumab(Anti-SLAMF7)
Thalidomide side effects
Constipation,somnolence,thrombosis, painful neuropathy,skin rash
MOA Bortezomib
Proteasome inhibitor -results in apoptosis
Carfilzomib -better, no neuropathy