title: [Clinical and evolutive study of plasma cell leukemia. Apropos of 9 cases].
abstract: Nine patients were diagnosed with plasma cell leukemia (PCL) from 1982-1995 at our hospital. Seven patients had primary PCL and the other two patients a secondary from. In this study the clinical and analytical features are reported, as well as the therapy and response obtained in these patients. Also, the karyotype findings in bone marrow of four of these patients are reported. At diagnosis, the most common symptom was bone pain which was associated with osteolytic lesions or diffuse bone demineralization. Analytical features were similar to those reported in other series of patients with PCL. Different therapeutical regimens were used, and VAD was the most commonly employed. Two patients underwent consolidation therapy with autologous transplantation of hemopoietic stem cells. The mean survival time was 5.5 months. Although PCL prognosis associated with chemotherapy is still poor, myeloablative therapy with hemopoietic support can increase the survival length in these patients.
authors.affiliation: Departamento de Genética, Facultad de Medicina, Universidad de Navarra.
authors.forename: C
authors.initials: C
authors.lastname: Panizo Santos
authors.forename: B
authors.initials: B
authors.lastname: Cuesta Palomero
authors.forename: M J
authors.initials: MJ
authors.lastname: Calasanz Abinzano
authors.forename: J
authors.initials: J
authors.lastname: Rifón Roca
authors.forename: E
authors.initials: E
authors.lastname: Rocha Hernando
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D003520:Cyclophosphamide / Q000008:administration & dosage; D003907:Dexamethasone; D004317:Doxorubicin / Q000008:administration & dosage; D005260:Female; D006801:Humans; D007145:Immunoglobulin kappa-Chains / Q000032:analysis; D007146:Immunoglobulin lambda-Chains / Q000032:analysis; D007952:Leukemia, Plasma Cell / Q000150:complications / Q000175:diagnosis* / Q000276:immunology / Q000628:therapy; D008297:Male; D008558:Melphalan / Q000008:administration & dosage; D011241:Prednisone / Q000008:administration & dosage; D014750:Vincristine / Q000008:administration & dosage
chemical_list: D007145:Immunoglobulin kappa-Chains; D007146:Immunoglobulin lambda-Chains; D014750:Vincristine; D003907:Dexamethasone; D004317:Doxorubicin; D003520:Cyclophosphamide; D008558:Melphalan; D011241:Prednisone