Clinical analysis of 15 patients with Waldenstrom macroglobulinemia
10.3760/cma.j.issn.0578-1426.2009.03.006
- VernacularTitle:Waldenstrom巨球蛋白血症15例临床分析
- Author:
Ying HU
;
Shilun CHEN
;
Yuping ZHONG
;
Xin LI
;
Na AN
;
Jiajia ZHANG
- Publication Type:Journal Article
- Keywords:
Waldenstrom macroglobulinemia;
Immunoglobulin M;
Drug therapy
- From:
Chinese Journal of Internal Medicine
2009;48(3):193-195
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical characteristics of Waldenstrom macroglobulinemia (WM) and enhance the level of diagnosis and treatment. Method The data of 15 patients with WM in our 68.5(60-79) years, male/female =2.75/1. Main clinical manifestations were fatigue, loss of weight, splenomegaly and lymphadenopathy. All the patients accepted the treatment of alkylating agents, purine nucleoside analogs, bortezomib or thalidomide respectively. The follow-up period for the patients was 4 months to 10 years and the median follow-up time was 82 months. Conclusion WM may often be seen in old male patients with varied clinical manifestations. The primary treatment is chemotherapy, but the disease is incurable. Bortezomib and thalidomide may improve the therapeutic effect.