For young patients with smoldering multiple myeloma who wish to be treated with lenalidomide, how do you go about harvesting their cells for an autologous transplant?
Insurance won't pay for harvesting if the transplant is not done within a year.
2 Answers
Mednet MemberInvited Expert
Medical Oncology · University of Chicago
Answered on
I have serious reservations with treating smoldering myeloma with lenalidomide and in general, discourage it. That is likely a discussion for another day, but my thoughts on this have been summarized here.
In general, we are able to secure permission for 'collect and store', and so I would prefer t...
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Mednet MemberInvited Expert
Medical Oncology · University of Wisconsin
Answered on
We are learning more about the natural history of SMM. Certainly for an SMM patient that is classified as "high risk", I would consider lenalidomide treatment if none of the many trials were available for this individual. In our own practice, we try exceedingly hard not to treat SMM patients off tri...
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