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ho┦癌盆FEv@醚

2009-12-06 homepage.vghtpe.gov.tw A +

@B侯阶ㄌ矫ネpのOj洛|独tt洛v┮@xWa跋参p戈Aho┦癌盆~oネvパ1979~1983~丁ぇCQUだぇ0.3Wど1992~1996~丁ぇCQUだぇ0.6F┮ΤGc┦~Fぇ14%Aの┮Τ砾gぇ3.93%AmだG丁LtZCㄌい地チ瓣Gf厩|Μ栋瓣ずQTaいj洛|程3-4~丁@370fwだR厨iA咯fkkゑ2:1Ano~闹hb60~80烦丁Aㄤいof~闹66烦FE_|だぇTfwDurie-Salmon材T戳A37%wΤ登\ぃㄎぇ薄CㄤいだIgG,IgAのlight-chaindiseaseU56,24の14%Fτoㄇだいぇ淮渺eのfUㄤい@bCκだぇKQきぇfwE_Τ钡i@Bぇv励C┮Τfwぇいs戳19るAㄤいDurie-Salmon材@BGBT戳だO80B42B15るCGBE_i浪d┮ΤfHゲ斗]t]1^fvA]2^ō砰浪dA]3^G浪dGЧ俱y计のㄤだ摸Bネて浪d]Э瘁BM荒誉Bq秆借BtのフJフ@^BKyJフwq浪dBMJフqaのㄤ虫Jフ]Mprotein^w┦だ摸]KTwk^のい]2yJフ@C]4^ЭG浪dG24pЭGだRAЭいJフqaのㄤ虫Jフ]Mprotein^w┦だ摸]KTwk^F]5^癌fIデ{蝶Aの]6^虫凹癌盆のちCbE_Aぃタ`虫KyJフb80%fHMいi盎代AΤ20%fHubЭGいo{B1-2%fHO┮孔LだcAo癸らv励いぇl萝讽nC埃FWC┮ゲ斗iぇ浪代AX兜亥Q蹦惠n暗浪dA]A]1^Cは莱JフB]2^ㄅ荒叉BQB]3^灿M框肚厩B]4^labelingindexBの]5^yΑ灿M祸]flowcytometry^HだRぃタ`ぇ歼灿MC~AX兜癸o摸fwbYㄇ薄pUΤノぇ浪dA]A]1^合yvB]2^いHYB]3^舱麓ちHE_歼灿MFBの]4^いyネΘ(erythropoitin)@C

TBE_ぇだ摸E_Dnㄌ沮uLq虫歼灿Mの虫Jフ借vCτだ戳ㄌ沮Durie-Salmonだ戳k(1)CfHㄌㄤ{のwぃPAiだ|摸]1^Smoldering癌盆F(2)B]2^Durie-Salmon材@戳癌盆FB]3^歼灿MF]plasmacytoma^Bの]4^Durie-Salmon材GのT戳ō┦癌盆FC|Bv励ぇだ摸1.SmolderingのDurie-Salmon材@戳癌盆FG@て励のや励k度ㄏノl萝戳丁efΤcてfwC]o摸fwSΤ钡v励]i{@Lhf{Abefiie`Τ计る计~戳丁A┮H戳ぃ惠v励C@efΤcてAiㄏノ肚参て厩v励のや┦酚@C2.癌fW┪癌f~歼灿MFGlぇv励莱度]Agv励A┪もNv励C3.Durie‘Salmon材GのT戳ō┦癌盆FGE_h惠il肚参て励の倒ぉや┦酚@CㄤL耕jPXㄖv励]combinationchemotherapy^は莱tq`耕еAPノMPは莱vOPC场だiAX┪惠钡蔼警qて励の砰yF灿MΜ栋ぇfwA莱鲸q磷KㄏノNitrosoureasのalkylatingagents单|癸F灿M玻ネ端`て厩媚のIぉ癌的gv励C

きBl萝の蝶は莱v]response^l萝の蝶G癸lv励fw莱C励{}lAτefw铆wwhCTる浪代@ΩC浪代兜ヘ]A]1^wqKyJフのw┦虫yJフだRA]2^y计GtΤフyだ摸のpO计ヘA]3^MЭ瘁B荒誉のtC~AΤg┪C~ii癌f}a{蝶FQノ癌盆ちh蝶efACv励F程jは莱A程h尿itㄢ励{v励A]hv励ぃ|┑铆w戳C癸戳v励]ぃt癸F灿MΤ端`ぇて励Bよ^Τは莱┪efF铆wfHAiH度[诡┪倒ぉ摸TJ┪zZ蝴v励Cτㄤい场だfHAhョiHσ{Iぉ蔼警qv励M砰F灿M簿从]z^C癸顶qfwτēA钵砰F灿M簿从のD摸TJ┪zZ蝴v励莱跌@贺{刚喷Clv励い┪ㄤぇl萝戳丁いAf{YΤcて]]A┪ЭいMJフq尿Wど25%HWBX{sk癌f_┪蔼t^Ah惠σ{ㄏノ毕穿v励A`ノBよ]ACyclophosphamide-VADBetoposide/dexamethasone/cytarabine(ara-C)/cisplatin(EDAP)B蔼警qD癌盆h埃(nonmarrow-ablative)cyclophosphamide,thalidomideのthalidomideㄖdexamethasoneC癸毕穿v励Τは莱fHAiH倒ぉ蔼警qv励ㄖ砰┪钵砰F灿M簿从A莱跌@贺{刚喷C癸w钡钵砰F灿M簿从efΤcてぇfHAiσ{块`秘OぺyAHE玻ネ簿从癸癌盆Fぇ莱C~AHiσ{ㄏノthalidomideA]F灿M簿从_ofHAㄤい30%癸thalidomideΤは莱CせBや┦酚@癌fefGDnHsx癌借yアの┪癌fI磕ΑsbA某癸ΤWz癌ff_ぇwA倒ぉbisphosphonatesv励CCるR`PamidronateAg靡龟iH搭淮khACP癌f闽ㄖogAэ到砰AC1.ぷㄤOiOdDurie-Salmon材T戳癌盆FのΤぶ@癌fIkf_fwネ~借C癸10-20%Ν戳L癌ff_fHA蛮C荒Qㄏノ莱度{刚喷C癌f蝶l萝莱C~ぶ@ΩC癌借K祸のㄤLN谅浪d度ノ{刚喷CC警qgv励]20-30Gy^AノLk北khBw戳NyΘfz┦癌ч┪凑溃ぇf_C倒ぉg警q莱磷KyΘoㄇfw钡蔼警qv励のF灿M簿从Lk钡ō┦gv励C莱A|E癌HBzt癌ffz┦癌ч┪凑溃ぇf_C2.蔼tG莱H矗蔼だB摸TJB干RQЭ警]furosemide^の蛮C荒Qv励C3.歼m传N莱@Τg蔼歼HY(hyperviscosity)徊Uv励C4.ㄖΤ登I很BhwAiσ{ㄏノyネΘA代qいyネΘ@iΤUWzv励p购C5.は滦MのネRPVGiσ{R`gKyJフHwPVC6.蝴RìだA磷KD摸TJ摸кo媚]NSAIDs^┪R`癸ゑ陪v警H搭ぶ登纽\ア秸诀|CCB砰F灿M簿从ぇA莱薄のσq1.b戳v励Τは莱┪efF铆wAfHA莱跌@贺夹非v励C程AXIv励fw匡拒ㄌ沮]1^Durie-Salmon材GのT戳B]2^}nぇ砰AB]3^p55烦B]4^M荒誉bef铆wp1.7mg/dlC摸fw莱鲸Ν锣EHQ簿从ぇ蝶Aㄖ荷q磷KbF灿MΜ栋eㄏノmて膀摸媚警(alkylatingagents)F某ぇ簿从e非称v励よΑG]A虫@警qぇmelphalan┪[Wōgv励C2.b毕穿v励Τは莱┪efAΩF@铆wAfHA莱跌@贺{刚喷C3.F灿M匡拒だ瞒(cellselection)よk瘤i搭ぶ砰F灿M簿从癌盆F灿MぇγVAL{い|yΘF灿MyアAㄤ{n┦ヘe|ゼTミC4.癸砰F灿M簿从Τは莱fHAX把Pi@Bぇ簿从蝴v励ぇ{刚喷C簿从zZぇ蝴v励AbヘeㄤàごゼTミC5.癸砰F灿M簿从Lは莱┪_ofHAi倒ぉ{刚喷┦毕穿v励┪i钵贺簿从C

KB钵砰F灿M簿从ぇA莱薄のσq1.钵砰簿从ヘeぃ莱跌ho┦癌盆F`Wv励Aτ莱妮{刚喷Cbd氓ずAiI]1^blv励Τは莱┪铆wfHA]2^b毕穿v励AefΤは莱┪铆wfHA]3^g砰F灿M簿从Aefご~尿cてfHC2.Τ舱麓e秘~淮wiσ{钵砰F灿M簿从C3.ㄏノD癌盆h埃k(non-myeloablative)ぇ钵砰簿从Ai搭C肚参ho┦癌盆Ffw钵砰簿从ぇㄖogの`vAiσq钵砰簿从uㄏノA斑]惠材T戳{刚喷Tミ励AヘeごゼC`Wv励Aτ妮{刚喷d氓C4.癸蔼警qv励の钵砰F灿M簿从Τ励fHAi把PΤ闽蝴v励{刚喷C5.钵砰F灿M簿从Sは莱┪_ofHi钡秘Oぺy块`A┪ㄤL妮{刚喷d瞅ず毕穿v励CEB虫@歼灿MF(solitaryplasmacytoma)癸E_虫@歼灿MFfw莱J灿浪dAHTミLō┦ぇIデC1.癌f┦歼灿MFG戳v励hw癸I`场gv励A警q45-50GyAiΤv隆ぇ诀|Cl萝の蝶]Agv励CTせるwqKyJフの虫yJフAy计(tだ摸のpOp计)CC~┪Τg癌fぇ浪dの癌盆ちH蝶efpC@ス虫Jフ尿Wど≈25%Ahs蝶癌盆FpABㄌ惠n倒ぉō┦v励C2.癌~歼灿MF(extraosseousplasmacytoma)Gv励P癌f┦歼灿MFCM虫Jフl萝ョPA材@~莱Cせる暗@Ωq福_hAτhㄌ惠n@浪dC

1BDurie‘Salmonho┦癌盆Fぇだ戳

戳O膀非砰ず砾灿M计]X1012/m2^IUC兵ンА骸ìG
1.Hb≈10g/dl
2.MtGタ`(∝12mg/dl)
3.癌fXGタ`┪uΤ虫@歼灿MFf_
4.CMcomponent
IgG≌5g/dl
IgA≌3g/dl
24pЭいBenceJonesJフ<4g≌0.6]C^IIぃ妮材@戳Bぃ妮材T戳0.6⌒1.20]い^III骸ìUC兵ンぇ@┪HW
1.Hb≌8.5g/dl
2.Mt≈12.0mg/dl
3.i┦k癌┦f_
4.蔼Mcomponent
IgG≈7g/dl
IgA≈5g/dl
24pЭいBenceJonesJフ>12g≈1.20(蔼)A...登\タ`(Mcreatinine≌2.0mg/dl)
B...登\钵`(Mcreatinine≠2.0mg/dl)

2BSmolderingho┦癌盆FE_兵ン

1.虫yJフg2.虫KyJフIgG≈3.5g/dl<5.0g/dlIgA≈2.0g/dl<3.0g/dl24pЭいBenceJonceJフ≈1.0g3.癌盆い歼灿M≈10%≌20%3.SΤhB登I很┪蔼t4.SΤ癌ff跑

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