[Guidelines for the diagnosis and management of multiple myeloma in China (2024 revision)].

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Abstract

Multiple myeloma (MM), an incurable clonal plasma cell dysplasia, is the second most common hematological malignancy in many countries, mainly developing in the elderly population. With the emergence of novel agents and laboratory methods, the diagnosis and treatment of MM have been significantly improved. In this version of the "Guidelines for the diagnosis and management of multiple myeloma in China (2024 revision)", several examination items have been updated in the diagnostic section; the definition of ultra high-risk MM has been proposed in the risk stratification section; for patients with equal or more than second-line relapse, chimeric antigen receptor T cell therapy and a bispecific T-cell engager have been added; and the treatment recommendations have been listed at different levels based on the best available evidence.

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[中国多发性骨髓瘤诊断与治疗指南(2024年修订)]。
多发性骨髓瘤(MM)是一种无法治愈的克隆性浆细胞发育不良,是许多国家第二常见的血液系统恶性肿瘤,主要发生在老年人中。随着新型药物和实验室方法的出现,MM的诊断和治疗有了显著的提高。在新版《中国多发性骨髓瘤诊断与治疗指南(2024年修订)》中,诊断部分更新了几个检查项目;在风险分层部分提出了高危MM的定义;对于等于或大于二线复发的患者,已添加嵌合抗原受体T细胞治疗和双特异性T细胞接合剂;根据现有的最佳证据,治疗建议被分为不同的级别。
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