title: Solitary plasmacytoma of bone and asymptomatic multiple myeloma.
abstract: Most patients with multiple myeloma (MM) present with symptoms, have evidence of generalized disease, and require chemotherapy promptly to reduce the malignant clone. Some patients present with a local symptom from a single plasmacytoma but no myeloma elsewhere. Such patients usually become free of symptoms after local radiotherapy. In patients with MM without symptoms, the diagnosis is made on the basis of screening laboratory tests. In patients with either solitary plasmacytoma of bone or asymptomatic MM, systemic treatment should be deferred until there is evidence of disease progression.
authors.affiliation: Departments of Clinical Therapeutics and Radiology, University of Athens School of Medicine, Athens, Greece. mdimop@cc.uoa.gr
authors.forename: M A
authors.initials: MA
authors.lastname: Dimopoulos
authors.forename: L A
authors.initials: LA
authors.lastname: Moulopoulos
authors.forename: A
authors.initials: A
authors.lastname: Maniatis
authors.forename: R
authors.initials: R
authors.lastname: Alexanian
mesh_terms: D001859:Bone Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000503:physiopathology / Q000532:radiotherapy; D006801:Humans; D009101:Multiple Myeloma / Q000175:diagnosis / Q000473:pathology / Q000503:physiopathology / Q000532:radiotherapy; D010954:Plasmacytoma / Q000175:diagnosis / Q000473:pathology / Q000503:physiopathology / Q000532:radiotherapy