Case Report
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Anaplastic Multiple Myeloma: An Aggressive Myeloma Variant with A Poor Response to Autologous Stem Cell Transplantation

Year 2024, Volume: 77 Issue: 4, 416 - 418, 31.12.2024

Abstract

Anaplastic multiple myeloma is an aggressive, chemotherapy-resistant subtype of myeloma with a poor prognosis. Approximately 2% of plasma cell myelomas are pleomorphic, anaplastic, and resemble metastatic tumor cells. Morphological differentiation of anaplastic cells is difficult, and immunohistochemistry and flow cytometry should be performed for immunophenotyping. We shared our experience with peripheral stem cell transplantation in this rare malignancy

Ethical Statement

The Ankara University Human Research Ethics Committee approved this article (date: 10.12.2021, approval no.: İ11-690-21).

Supporting Institution

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Project Number

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Thanks

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References

  • 1. Ichikawa S, Fukuhara N, Hatta S, et al. Anaplastic multiple myeloma: possible limitations of conventional chemotherapy for long-term remission. J Clin Exp Hematop. 2018;58:39-42.
  • 2. Sethi S, Miller. Plasma cell myeloma with anaplastic transformation. Blood. 2016;128:2106.
  • 3. Huang JX1, Meng FJ, Feng XQ, et al. Clinical and histopathological analyses of anaplastic myeloma. Chinese Medical Journal. 2020;133:1614-16.
  • 4. Singh N, Agrawal N, Mehta A, Panaych A, Sekhri R: CD38-negative myeloma with anaplastic morphology at presentation: a case report. Indian J Hematol Blood Transfus. 2018;34:362-4.
  • 5. Aljabry MS: CD38 negative anaplastic plasma cell myeloma with (14; 16) translocation: a diagnostic dilemma for highly aggressive neoplasm: case report. J Hematop. 2019;12:27-30.
  • 6. Thi Vinh Do A, Lan Anh L. CD38 - Negative anaplastic plasma cell myeloma: A rare case report. Cureus. 2022;14:e20909.
  • 7. Ammannagari N, Celotto K, Neppalli V, Lee K, Holstein SA. Anaplastic Multiple Myeloma: An Aggressive Variant With a Poor Response to Novel Therapies. Clinical Lymphom Myelom Leuk. 2016;16:e129-e131.
  • 8. Saburi M, Ogata M, Soga Y, Kondo Y, Kurimoto R, Itani K, Kohno K, Uchida H, Nakayama T. Poor response to daratumumab and carfilzomib in newly diagnosed anaplastic multiple myeloma. J Clin Exp Hematop. 2020;60:17- 20.
  • 9. Agrawal M, Kanakry J, Arnold CA, Suzman DL, Mathieu L, Kasamon YL, Gladstone DE Ambinder RF, Ghosh N. Sustained remission and reversal of end-organ dysfunction in a patient with anaplastic myeloma. Ann Hematol. 2014;93:1245-1246.
  • 10. Tang W, Xu Y, Xiang B. Successful outcome of anaplastic multiple myeloma with lenalidomide, cyclophosphamide, and dexamethasone therapy. Ann Hematol. 2021;100:3039-40.
  • 11. Elsabah H, Soliman DS, Ibrahim F, Al-Sabbagh A, Yassin M, Moustafa A, et al. Plasma cell myeloma with an aggressive clinical course and anaplastic morphology in a 22-year-old patient: a case report and review of literature. Am J Case Rep. 2020;21:e920489-1-8.

Anaplastik Multiple Miyeloma: Otolog Kök Hücre Nakli Tedavisine Yanıtsız Agresif Miyeloma Varyantı

Year 2024, Volume: 77 Issue: 4, 416 - 418, 31.12.2024

Abstract

Anaplastik multipl miyeloma agresif seyirli, kemoterapilere dirençli, kötü prognozlu miyeloma alt tipidir. Plazma hücreli miyelomun yaklaşık %2’si pleomorfik, anaplastik özellikte olup metastatik tümör hücrelerine benzer. Anaplastik hücrelerin morfolojik ayırımı güç olup, immünfenotipleme için immünhistokimya ve akım sitometrik inceleme yapılmalıdır. Nadir görülen bu malignitede otolog periferik kök hücre nakil deneyimimizi paylaştık.

Ethical Statement

-

Supporting Institution

-

Project Number

-

Thanks

-

References

  • 1. Ichikawa S, Fukuhara N, Hatta S, et al. Anaplastic multiple myeloma: possible limitations of conventional chemotherapy for long-term remission. J Clin Exp Hematop. 2018;58:39-42.
  • 2. Sethi S, Miller. Plasma cell myeloma with anaplastic transformation. Blood. 2016;128:2106.
  • 3. Huang JX1, Meng FJ, Feng XQ, et al. Clinical and histopathological analyses of anaplastic myeloma. Chinese Medical Journal. 2020;133:1614-16.
  • 4. Singh N, Agrawal N, Mehta A, Panaych A, Sekhri R: CD38-negative myeloma with anaplastic morphology at presentation: a case report. Indian J Hematol Blood Transfus. 2018;34:362-4.
  • 5. Aljabry MS: CD38 negative anaplastic plasma cell myeloma with (14; 16) translocation: a diagnostic dilemma for highly aggressive neoplasm: case report. J Hematop. 2019;12:27-30.
  • 6. Thi Vinh Do A, Lan Anh L. CD38 - Negative anaplastic plasma cell myeloma: A rare case report. Cureus. 2022;14:e20909.
  • 7. Ammannagari N, Celotto K, Neppalli V, Lee K, Holstein SA. Anaplastic Multiple Myeloma: An Aggressive Variant With a Poor Response to Novel Therapies. Clinical Lymphom Myelom Leuk. 2016;16:e129-e131.
  • 8. Saburi M, Ogata M, Soga Y, Kondo Y, Kurimoto R, Itani K, Kohno K, Uchida H, Nakayama T. Poor response to daratumumab and carfilzomib in newly diagnosed anaplastic multiple myeloma. J Clin Exp Hematop. 2020;60:17- 20.
  • 9. Agrawal M, Kanakry J, Arnold CA, Suzman DL, Mathieu L, Kasamon YL, Gladstone DE Ambinder RF, Ghosh N. Sustained remission and reversal of end-organ dysfunction in a patient with anaplastic myeloma. Ann Hematol. 2014;93:1245-1246.
  • 10. Tang W, Xu Y, Xiang B. Successful outcome of anaplastic multiple myeloma with lenalidomide, cyclophosphamide, and dexamethasone therapy. Ann Hematol. 2021;100:3039-40.
  • 11. Elsabah H, Soliman DS, Ibrahim F, Al-Sabbagh A, Yassin M, Moustafa A, et al. Plasma cell myeloma with an aggressive clinical course and anaplastic morphology in a 22-year-old patient: a case report and review of literature. Am J Case Rep. 2020;21:e920489-1-8.
There are 11 citations in total.

Details

Primary Language English
Subjects Haematology
Journal Section Case Report
Authors

Derya Koyun 0000-0003-3970-2010

İbrahim Öner Doğan This is me

Işınsu Kuzu This is me 0000-0001-5519-1009

Selami Koçak Toprak 0000-0001-7717-5827

Muhit Özcan 0000-0002-1326-1918

Taner Demirer 0000-0002-2214-5927

Project Number -
Submission Date March 23, 2024
Acceptance Date October 1, 2024
Publication Date December 31, 2024
Published in Issue Year 2024 Volume: 77 Issue: 4

Cite

APA Koyun, D., Doğan, İ. Ö., Kuzu, I., … Toprak, S. K. (2024). Anaplastic Multiple Myeloma: An Aggressive Myeloma Variant with A Poor Response to Autologous Stem Cell Transplantation. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 77(4), 416-418. https://doi.org/10.4274/atfm.galenos.2024.59354
AMA Koyun D, Doğan İÖ, Kuzu I, Toprak SK, Özcan M, Demirer T. Anaplastic Multiple Myeloma: An Aggressive Myeloma Variant with A Poor Response to Autologous Stem Cell Transplantation. Ankara Üniversitesi Tıp Fakültesi Mecmuası. December 2024;77(4):416-418. doi:10.4274/atfm.galenos.2024.59354
Chicago Koyun, Derya, İbrahim Öner Doğan, Işınsu Kuzu, Selami Koçak Toprak, Muhit Özcan, and Taner Demirer. “Anaplastic Multiple Myeloma: An Aggressive Myeloma Variant With A Poor Response to Autologous Stem Cell Transplantation”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 77, no. 4 (December 2024): 416-18. https://doi.org/10.4274/atfm.galenos.2024.59354.
EndNote Koyun D, Doğan İÖ, Kuzu I, Toprak SK, Özcan M, Demirer T (December 1, 2024) Anaplastic Multiple Myeloma: An Aggressive Myeloma Variant with A Poor Response to Autologous Stem Cell Transplantation. Ankara Üniversitesi Tıp Fakültesi Mecmuası 77 4 416–418.
IEEE D. Koyun, İ. Ö. Doğan, I. Kuzu, S. K. Toprak, M. Özcan, and T. Demirer, “Anaplastic Multiple Myeloma: An Aggressive Myeloma Variant with A Poor Response to Autologous Stem Cell Transplantation”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 77, no. 4, pp. 416–418, 2024, doi: 10.4274/atfm.galenos.2024.59354.
ISNAD Koyun, Derya et al. “Anaplastic Multiple Myeloma: An Aggressive Myeloma Variant With A Poor Response to Autologous Stem Cell Transplantation”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 77/4 (December2024), 416-418. https://doi.org/10.4274/atfm.galenos.2024.59354.
JAMA Koyun D, Doğan İÖ, Kuzu I, Toprak SK, Özcan M, Demirer T. Anaplastic Multiple Myeloma: An Aggressive Myeloma Variant with A Poor Response to Autologous Stem Cell Transplantation. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2024;77:416–418.
MLA Koyun, Derya et al. “Anaplastic Multiple Myeloma: An Aggressive Myeloma Variant With A Poor Response to Autologous Stem Cell Transplantation”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 77, no. 4, 2024, pp. 416-8, doi:10.4274/atfm.galenos.2024.59354.
Vancouver Koyun D, Doğan İÖ, Kuzu I, Toprak SK, Özcan M, Demirer T. Anaplastic Multiple Myeloma: An Aggressive Myeloma Variant with A Poor Response to Autologous Stem Cell Transplantation. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2024;77(4):416-8.