Can multiple myeloma be cured? What are the treatments?

For the treatment of multiple myeloma, if it can be treated in the early stages, the chances of cure are very high. General treatments include chemotherapy and hematopoietic stem cell transplantation. Multiple myeloma is very harmful to human health, so everyone must take it seriously.

1. General treatment

(1) If hemoglobin is lower than 60 g/L, red blood cells should be transfused.

(2) Hypercalcemia: hydration with isotonic saline, prednisone; calcitonin, bisphosphonates, and treatment of the primary disease.

(3) For hyperuricemia, hydration should be performed and allopurinol should be taken orally.

(4) Treatment of the primary disease of hyperviscosity and temporary plasma exchange if necessary.

(5) Treatment of the primary disease of renal failure and hemodialysis if necessary.

(6) Infections are treated with antibiotics. Regular prophylactic immunoglobulin injections are effective for patients with recurrent infections.

2. Chemotherapy

(1) Patients who are suitable for autologous transplantation should use a combination therapy that does not contain melphalan. Commonly used drugs include: Velcade, dexamethasone, thalidomide, lenalidomide, etc.

(2) Patients who are not suitable for autologous transplantation are treated with a combination therapy containing melphalan. Commonly used drugs include: Velcade, dexamethasone, thalidomide, lenalidomide, melphalan, etc.

3. Hematopoietic stem cell transplantation

Autologous hematopoietic stem cell transplantation is recommended for all eligible patients, and allogeneic hematopoietic stem cell transplantation may be considered for some young high-risk patients as appropriate.