国际肿瘤学杂志 ›› 2018, Vol. 45 ›› Issue (1): 56-.doi: 10.3760/cma.j.issn.1673-422X.2018.01.013

• 综述 • 上一篇    下一篇

多发性骨髓瘤微小残留病的检测方法及临床应用

刘小兰,关涛,苏丽萍   

  1. 030013 太原,山西省肿瘤医院(山西省第三人民医院)血液科
  • 出版日期:2018-01-08 发布日期:2018-02-12
  • 通讯作者: 苏丽萍 E-mail:sulp2005@sohu.com

Detection and clinical application of minimal residual disease in multiple myeloma

Liu Xiaolan, Guan Tao, Su Liping   

  1. Department of Hematology, Shanxi Provincial Cancer Hospital (Third People′s Hospital of Shanxi Province), Taiyuan 030013, China
  • Online:2018-01-08 Published:2018-02-12
  • Contact: Su Liping E-mail:sulp2005@sohu.com

摘要: 微小残留病(MRD)作为多发性骨髓瘤(MM)的一个极为重要的预后因素,其检测方法主要包括以细胞为基础的检测方法(多参数流式细胞术)和分子学检测方法(包括PCR和基因测序),各检测方法具有明显的优缺点。在临床应用方面,对于接受造血干细胞移植和传统化疗的患者,MRD阴性均可明显延长无进展生存期和总生存期。而且,MRD状态对治疗方案的选择具有重要意义。

关键词: 多发性骨髓瘤; 肿瘤, 残余

Abstract: Minimal residual disease (MRD) is a very important prognostic factor in multiple myeloma (MM). The major types of MRD tests include cellbased test (multiparameter flow cytometry) and molecular tests (including PCR and gene sequencing), and the various techniques have inherent advantages and limitations. In clinical application, MRD negative can significantly prolong progressionfree survival and overall survival of patients who receive hematopoietic stem cell transplantation and conventional chemotherapy. Moreover, the MRD status is of great significance to the selection of treatment options.

Key words: Multiple myeloma, Neoplasm, residual