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Cellular Kinetics in Multiple MyelomaA New Approach to Staging and Treatment
Sydney E. Salmon, MD;
Brian G. M. Durie, MD
Arch Intern Med. 1975;135(1):131-138.
Abstract
Previous studies of myeloma immunoglobulin synthesis and tumor cell number, using a marker kinetic approach, have increased knowledge about body burden of tumor cells, kinetics of myeloma cell growth, and response to chemotherapy. On the basis of these observations, we have developed a clinical staging system that permits accurate estimation of total myeloma cell number in patients who have not had specialized immunosynthetic measurements. We have incorporated this clinical staging into a nationwide time-sharing computer network called the Myeloma Study System (MSS). With the MSS we are able to establish a file for each patient, keep track of changes in tumor cell number with treatment, and evaluate toxicity. This resource should afford an excellent test of the value of cellular kinetics for the planning and uniform evaluation of cancer chemotherapy.
Author Affiliations
From the Section of Hematology and Oncology, Department of Internal Medicine, University of Arizona College of Medicine, Tucson.
Footnotes
Received for publication March 7, 1974; accepted May 16.
Read before the Symposium on Myeloma, Atlanta, Oct 22, 1973.
Reprint requests to 1501 N Campbell Ave, Tucson, AZ 85724 (Dr. Salmon).
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