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Hematologic Malignancies • Medical Oncology • Myeloma • Internal Medicine • Hematology • Nephrology
How do you monitor multiple myeloma in patients receiving dialysis?
Since free light chains are removed by dialysis and SPEP can also be impacted, is there a reliable way to monitor patients with ESRD and MM?
Answer from: Medical Oncologist at Academic Institution
In brief, it depends. I’ve had some patients on dialysis whose light chains completely normalize with treatment and continue to remain normal - and others where the light chains never drop below 100 mg/L even in the setting of MRD negativity. This probably has something to do with the fact tha...
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