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Radiotherapy

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Multiple Myeloma

Part of the book series: Recent Results in Cancer Research ((RECENTCANCER,volume 183))

Abstract

Solitary plasmocytoma occurring in bone (solitary plasmocytoma of the bone, SBP) or in soft tissue (extramedullary plasmocytoma, EP) can be treated effectively and with little toxicity by local radiotherapy. Ten-year local control rates of up to 90% can be achieved. Patients with multiple myeloma often suffer from symptoms such as pain or neurological impairments that are amenable to palliative radiotherapy. In a palliative setting, short treatment schedules and lower radiation doses are used to reduce toxicity and duration of hospitalization. In future, low-dose total body irradiation (TBI) may play a role in a potentially curative regimen with nonmyeloablative conditioning followed by allogenic peripheral blood stem cell transplantation.

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References

  • Adamietz IA, Bottcher HD (1994) Estimation of radiotherapy effect in multiple myeloma. Int J Radiat Oncol Biol Phys 29:221

    PubMed  CAS  Google Scholar 

  • Aviles A, Huerta-Guzman J, Delgado S, Fernandez A, Diaz-Maqueo JC (1996) Improved outcome in solitary bone plasmocytomata with combined therapy. Hematol Oncol 14:111–117

    Article  PubMed  CAS  Google Scholar 

  • Bachar G, Goldstein D, Brown D, Tsang R, Lockwood G, Perez-Ordonez B, Irish J (2008) Solitary extramedullary plasmocytoma of the head and neck–long-term outcome analysis of 68 cases. Head Neck 30:1012–1019

    Article  PubMed  Google Scholar 

  • Bolek TW, Marcus RB, Mendenhall NP (1996) Solitary plasmocytoma of bone and soft tissue. Int J Radiat Oncol Biol Phys 36:329–333

    Article  PubMed  CAS  Google Scholar 

  • Bosch A, Frias Z (1988) Radiotherapy in the treatment of multiple myeloma. Int J Radiat Oncol Biol Phys 15:1363–1369

    Article  PubMed  CAS  Google Scholar 

  • Bruno B, Rotta M, Patriarca F, Mattei D, Allione B, Carnevale-Schianca F, Sorasio R, Rambaldi A, Casini M, Parma M, Bavaro P, Onida F, Busca A, Castagna L, Benedetti E, Iori AP, Giaccone L, Palumbo A, Corradini P, Fanin R, Maloney D, Storb R, Baldi I, Ricardi U, Boccadoro M (2009) Non-myeloablative allografting for newly diagnosed multiple myeloma: the experience of the Gruppo Italiano Trapianti di Midollo. Blood 113:3375–3382

    Article  PubMed  CAS  Google Scholar 

  • Catell D, Kogen Z, Donahue B, Steinfeld A (1998) Multiple myeloma of an extremity: must the entire bone be treated? Int J Radiat Oncol Biol Phys 40:117–119

    Article  PubMed  CAS  Google Scholar 

  • Chao MW, Gibbs P, Wirth A, Quong G, Guiney MJ, Liew KH (2005) Radiotherapy in the management of solitary extramedullary plasmocytoma. Intern Med J 35:211–215

    Article  PubMed  CAS  Google Scholar 

  • Creach KM, Foote RL, Neben-Wittich MA, Kyle RA (2009) Radiotherapy for extramedullary plasmocytoma of the head and neck. Int J Radiat Oncol Biol Phys 73:789–794

    Article  PubMed  Google Scholar 

  • Falkmer U, Jarhult J, Wersall P, Cavallin-Stahl E (2003) A systematic overview of radiation therapy effects in skeletal metastases. Acta Oncol 42:620–633

    Article  PubMed  Google Scholar 

  • Frassica DA, Frassica FJ, Schray MF, Sim FH, Kyle RA (1989) Solitary plasmocytoma of bone: Mayo clinic experience. Int J Radiat Oncol Biol Phys 16:43–48

    Article  PubMed  CAS  Google Scholar 

  • Georges GE, Maris MB, Maloney DG, Sandmaier BM, Sorror ML, Shizuru JA, Lange T, Agura ED, Bruno B, McSweeney PA, Pulsipher MA, Chauncey TR, Mielcarek M, Storer BE, Storb R (2007) Nonmyeloablative unrelated donor hematopoietic cell transplantation to treat patients with poor-risk, relapsed, or refractory multiple myeloma. Biol Blood Marrow Transplant 13:423–432

    Article  PubMed  CAS  Google Scholar 

  • Gerull S, Goerner M, Benner A, Hegenbart U, Klein U, Schaefer H, Goldschmidt H, Ho AD (2005) Long-term outcome of nonmyeloablative allogeneic transplantation in patients with high-risk multiple myeloma. Bone Marrow Transplant 36:963–969

    Article  PubMed  CAS  Google Scholar 

  • Hjertner O, Standal T, Borset M, Sundan A, Waage A (2006) Bone disease in multiple myeloma. Med Oncol 23:431–441

    Article  PubMed  CAS  Google Scholar 

  • Holland J, Trenkner DA, Wasserman TH, Fineberg B (1992) Plasmocytoma. Treatment results and conversion to myeloma. Cancer 69:1513–1517

    Article  PubMed  CAS  Google Scholar 

  • Jyothirmayi R, Gangadharan VP, Nair MK, Rajan B (1997) Radiotherapy in the treatment of solitary plasmocytoma. Br J Radiol 70:511–516

    PubMed  CAS  Google Scholar 

  • Kumar S (2008) Solitary plasmocytoma: is radiation therapy sufficient? Am J Hematol 83:695–696

    Article  PubMed  Google Scholar 

  • Lecouvet F, Richard F, Vande BB, Malghem J, Maldague B, Jamart J, Ferrant A, Michaux JL (1997) Long-term effects of localized spinal radiation therapy on vertebral fractures and focal lesions appearance in patients with multiple myeloma. Br J Haematol 96:743–745

    Article  PubMed  CAS  Google Scholar 

  • Leigh BR, Kurtts TA, Mack CF, Matzner MB, Shimm DS (1993) Radiation therapy for the palliation of multiple myeloma. Int J Radiat Oncol Biol Phys 25:801–804

    Article  PubMed  CAS  Google Scholar 

  • Liebross RH, Ha CS, Cox JD, Weber D, Delasalle K, Alexanian R (1998) Solitary bone plasmocytoma: outcome and prognostic factors following radiotherapy. Int J Radiat Oncol Biol Phys 41:1063–1067

    Article  PubMed  CAS  Google Scholar 

  • Liebross RH, Ha CS, Cox JD, Weber D, Delasalle K, Alexanian R (1999) Clinical course of solitary extramedullary plasmocytoma. Radiother Oncol 52:245–249

    Article  PubMed  CAS  Google Scholar 

  • Mayr NA, Wen BC, Hussey DH, Burns CP, Staples JJ, Doornbos JF, Vigliotti AP (1990) The role of radiation therapy in the treatment of solitary plasmocytomas. Radiother Oncol 17:293–303

    Article  PubMed  CAS  Google Scholar 

  • Mendenhall CM, Thar TL, Million RR (1980) Solitary plasmocytoma of bone and soft tissue. Int J Radiat Oncol Biol Phys 6:1497–1501

    PubMed  CAS  Google Scholar 

  • Michalaki VJ, Hall J, Henk JM, Nutting CM, Harrington KJ (2003) Definitive radiotherapy for extramedullary plasmocytomas of the head and neck. Br J Radiol 76:738–741

    Article  PubMed  CAS  Google Scholar 

  • Mill WB (1975) Radiation therapy in multiple myeloma. Radiology 115:175–178

    PubMed  CAS  Google Scholar 

  • Moreau P, Facon T, Attal M, Hulin C, Michallet M, Maloisel F, Sotto JJ, Guilhot F, Marit G, Doyen C, Jaubert J, Fuzibet JG, Francois S, Benboubker L, Monconduit M, Voillat L, Macro M, Berthou C, Dorvaux V, Pignon B, Rio B, Matthes T, Casassus P, Caillot D, Najman N, Grosbois B, Bataille R, Harousseau JL (2002) Comparison of 200 mg/m2 melphalan and 8 Gy total body irradiation plus 140 mg/m2 melphalan as conditioning regimens for peripheral blood stem cell transplantation in patients with newly diagnosed multiple myeloma: final analysis of the Intergroupe Francophone du Myelome 9502 randomized trial. Blood 99:731–735

    Article  PubMed  CAS  Google Scholar 

  • Mose S, Pfitzner D, Rahn A, Nierhoff C, Schiemann M, Bottcher HD (2000) Role of radiotherapy in the treatment of multiple myeloma. Strahlenther Onkol 176:506–512

    Article  PubMed  CAS  Google Scholar 

  • Ozsahin M, Tsang RW, Poortmans P, Belkacemi Y, Bolla M, Dincbas FO, Landmann C, Castelain B, Buijsen J, Curschmann J, Kadish SP, Kowalczyk A, Anacak Y, Hammer J, Nguyen TD, Studer G, Cooper R, Sengoz M, Scandolaro L, Zouhair A (2006) Outcomes and patterns of failure in solitary plasmocytoma: a multicenter Rare Cancer Network study of 258 patients. Int J Radiat Oncol Biol Phys 64:210–217

    Article  PubMed  Google Scholar 

  • Plasswilm L, Belka C (2004) Strahlentherapie beim Myelom. Der Onkologe 8:858–863

    Google Scholar 

  • Rades D, Hoskin PJ, Stalpers LJ, Schulte R, Poortmans P, Veninga T, Dahm-Daphi J, Obralic N, Wildfang I, Bahrehmand R, Engenhart-Cabilic R, Schild SE (2006) Short-course radiotherapy is not optimal for spinal cord compression due to myeloma. Int J Radiat Oncol Biol Phys 64:1452–1457

    Article  PubMed  Google Scholar 

  • Rostom AY (1988) A review of the place of radiotherapy in myeloma with emphasis on whole body irradiation. Hematol Oncol 6:193–198

    Article  PubMed  CAS  Google Scholar 

  • Susnerwala SS, Shanks JH, Banerjee SS, Scarffe JH, Farrington WT, Slevin NJ (1997) Extramedullary plasmocytoma of the head and neck region: clinicopathological correlation in 25 cases. Br J Cancer 75:921–927

    Article  PubMed  CAS  Google Scholar 

  • Tournier-Rangeard L, Lapeyre M, Graff-Caillaud P, Mege A, Dolivet G, Toussaint B, Charra-Brunaud C, Hoffstetter S, Marchal C, Peiffert D (2006) Radiotherapy for solitary extramedullary plasmocytoma in the head-and-neck region: a dose greater than 45 Gy to the target volume improves the local control. Int J Radiat Oncol Biol Phys 64:1013–1017

    Article  PubMed  Google Scholar 

  • Tsang RW, Gospodarowicz MK, Pintilie M, Bezjak A, Wells W, Hodgson DC, Stewart AK (2001) Solitary plasmocytoma treated with radiotherapy: impact of tumor size on outcome. Int J Radiat Oncol Biol Phys 50:113–120

    Article  PubMed  CAS  Google Scholar 

  • Wilder RB, Ha CS, Cox JD, Weber D, Delasalle K, Alexanian R (2002) Persistence of myeloma protein for more than one year after radiotherapy is an adverse prognostic factor in solitary plasmocytoma of bone. Cancer 94:1532–1537

    Article  PubMed  CAS  Google Scholar 

  • Wilkowski R, Schymura B, Busch M, Zimmermann F (2002) Strahlentherapie. In: Bartl R (ed) Manual Multiples Myelom – Empfehlungen zur Diagnostik, Therapie und Nachsorge. Zuckschwerdt, München, pp S138–S142

    Google Scholar 

  • Yaneva MP, Goranova-Marinova V, Goranov S (2006) Palliative radiotherapy in patients with multiple myeloma. J BUON 11:43–48

    PubMed  CAS  Google Scholar 

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Correspondence to Sonja Krause .

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Krause, S., Debus, J., Neuhof, D. (2011). Radiotherapy. In: Moehler, T., Goldschmidt, H. (eds) Multiple Myeloma. Recent Results in Cancer Research, vol 183. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-85772-3_13

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  • DOI: https://doi.org/10.1007/978-3-540-85772-3_13

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-85771-6

  • Online ISBN: 978-3-540-85772-3

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