There are two lines of thought in terms of myeloma treatment. One is that the goal is to have the patient do an autologous stem cell transplant. It's autologous because you're getting your own stem cells. The other line of thinking is no transplant. The majority of patients and doctors opt for the transplant, thinking it gives longer survival. However, the minority of being against transplants, is growing. Dr Berenson, my doctor, is against transplants. I can't disagree, given his approach has worked so well for me.
Regarding the above, here is an article debating this issue. The con in the article is my Dr B.
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http://journals.lww.com/oncology-times/blog/onlinefirst/pages/post.aspx?PostID=693
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