title: Immunoglobulin D Multiple Myeloma: Disease Profile, Therapeutic Response, and Survival.
abstract: The long-term clinical characteristics, response to therapy, and survival in patients with immunoglobulin D (IgD) multiple myeloma (MM) were investigated.
  
  
  
  A retrospective study was conducted that included 68 patients treated in the last 10 years, 37 of whom received bortezomib only (bortezomib group), 13 of whom received bortezomib and underwent autologous hematopoietic stem cell transplantation (bortezomib + ASCT group), and 18 of whom received conditional chemotherapy (non-bortezomib group).
  
  
  
  The ratio of males to females was 44:24, and the median age was 56.5 years. The overall response rate of each group was 91.9, 77.8, and 100%, respectively. The median overall survival (OS) and progression-free survival (PFS) were 24 and 15.5 months, respectively, among the 68 patients. The median OS of each group was 23, 21.5, and 27 months, respectively. The median PFS of each group was 18, 12, and 24 months, respectively. The 3- and 5-year OS were 64 and 45%, respectively, and the 3- and 5-year PFS were 39 and 13%, respectively, among the 68 patients. Cox regression showed that the percentage of bone marrow plasmacytosis was significantly associated with OS (p = 0.038).
  
  
  
  The survival of IgD patients is shorter than that of other MM patients. Treatment strategies with bortezomib followed by stem cell transplantation may boost the response rate and improve survival.
authors.affiliation: Department of Hematology and Oncology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
authors.forename: Guo-Rong
authors.initials: GR
authors.lastname: Wang
authors.forename: Wan-Jun
authors.initials: WJ
authors.lastname: Sun
authors.forename: Wen-Ming
authors.initials: WM
authors.lastname: Chen
authors.forename: Zhong-Xia
authors.initials: ZX
authors.lastname: Huang
authors.forename: Jia-Jia
authors.initials: JJ
authors.lastname: Zhang
authors.forename: Na
authors.initials: N
authors.lastname: An
authors.forename: Man
authors.initials: M
authors.lastname: Shen
authors.forename: Xin
authors.initials: X
authors.lastname: Li
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D000069286:Bortezomib; D018572:Disease-Free Survival; D018380:Hematopoietic Stem Cell Transplantation; D006801:Humans; D007072:Immunoglobulin D; D008875:Middle Aged; D009101:Multiple Myeloma / Q000188:drug therapy*; D012189:Retrospective Studies; D014182:Transplantation, Autologous; D016896:Treatment Outcome
chemical_list: D007072:Immunoglobulin D; D000069286:Bortezomib