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August 1986

Long-term Survival in Multiple Myeloma-Reply

Arch Intern Med. 1986;146(8):1638. doi:10.1001/archinte.1986.00360200217048

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In Reply.  —Since the availability of effective chemotherapy for myeloma, most centers have now seen patients who have lived longer than ten years. Dr Blade's patients are of interest in that two of three patients had presented with an intermediate cell mass and none had received prednisone as part of their initial effective therapy. In contrast to the 2% to 4% of patients who survived ten years among those treated prior to 1975 by Dr Kyle, Dr Blade, and myself, more than 10% of currently treated patients should live that long. This progress is attributed to a combination of earlier diagnosis, better control of complications, and more effective cytoreductive programs at diagnosis and relapse.

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