TACTICAL CHOICE OF SURGICAL AND COMBINED TREATMENT IN PATIENTS WITH MULTIPLE MYELOMA

In present time is noted the considerable growth of cases rate in hematological diseases. Fom 2003 to 2008 the gain of absolute number of patients with hematological tumors made up 12,1%. Owing to increase in total number of the revealed diseases a surgical stage of treatment becomes more impotent. Multiple myeloma consists about 1,4% in structure of the general case rate in oncological diseases what is approximately 3-4 cases per 100,000. In the department of bone and soft tissue tumors the statistical analysis was carried out in group of 53 patients with multiple myeloma and plasmacytoma of spinal column defeat in the period from 2001 for 2011 years. Therefore the main prognostic criteria of efficiency of the possible surgical treatment, allowing to define tactics of prospective treatment were allocated. Being based on statistical analysis of the set parameters scores which were received as a result of mathematical calculation and it division into representative intervals, there was developed the scale of tactical choice of surgical and combined treatment in patients with multiple myeloma and plasmacytoma of spinal column defeat.

myeloma, plasmacytoma of spinal column