Table 4

Patients who received further therapy

PatientTime to next therapy, mReason for next therapyNext therapy
36 A) 1.6 Worsening PN A) Doxorubicin, corticosteroids 
B) 4.1 B) ASCT 
37 2.2 Worsening PN Bevacizumab, thalidomide 
18* A) 3.3 A) Worsening PN but improved skin findings and extravasation A) CTX, corticosteroids 
B) 32 B) New bone lesion B) Irradiation 
13* 3.5 Worsening PN, lower extremity edema, endocrinopathy ASCT 
25 4.6 Worsening PN ASCT 
32 6.0 Worsening PN ASCT 
9 6.5 Return of fatigue and edema, worsening PN despite initial improvement (PN, skin, volume overload, and PET/CT) ASCT 
6.9 Inadequate PN improvement and worsening VEGF ASCT 
20 7.6 Inadequate PN improvement with worsening skin findings, volume overload, and papilledema ASCT 
22 10.0 Worsening PN and persistent M-spike ASCT 
19 12.6 Inadequate PN improvement Lenalidomide, corticosteroids 
35 A) 19 A) New papilledema A) Corticosteroids 
B) 71 B) New calvarial lesion B) Irradiation 
26*, 26.3 Worsening VEGF and new bone lesions ASCT 
12* A) 28 A) New bone lesions and adenopathy A) Corticosteroids 
B) 35 B) Worsening PN B) CTX, corticosteroids 
C) 43 C) Worsening PN C) CTX, corticosteroids 
34 53 Worsening VEGF, new bone lesions (20 m), new bone marrow involvement (27 m), and worsening skin (49 m) ASCT 
27 66 Worsening erythrocytosis and bone lesions by PET/CT Lenalidomide, corticosteroids 
28 73 Reemergence of M-spike and new bone lesion Irradiation and CyberKnife concurrently 
PatientTime to next therapy, mReason for next therapyNext therapy
36 A) 1.6 Worsening PN A) Doxorubicin, corticosteroids 
B) 4.1 B) ASCT 
37 2.2 Worsening PN Bevacizumab, thalidomide 
18* A) 3.3 A) Worsening PN but improved skin findings and extravasation A) CTX, corticosteroids 
B) 32 B) New bone lesion B) Irradiation 
13* 3.5 Worsening PN, lower extremity edema, endocrinopathy ASCT 
25 4.6 Worsening PN ASCT 
32 6.0 Worsening PN ASCT 
9 6.5 Return of fatigue and edema, worsening PN despite initial improvement (PN, skin, volume overload, and PET/CT) ASCT 
6.9 Inadequate PN improvement and worsening VEGF ASCT 
20 7.6 Inadequate PN improvement with worsening skin findings, volume overload, and papilledema ASCT 
22 10.0 Worsening PN and persistent M-spike ASCT 
19 12.6 Inadequate PN improvement Lenalidomide, corticosteroids 
35 A) 19 A) New papilledema A) Corticosteroids 
B) 71 B) New calvarial lesion B) Irradiation 
26*, 26.3 Worsening VEGF and new bone lesions ASCT 
12* A) 28 A) New bone lesions and adenopathy A) Corticosteroids 
B) 35 B) Worsening PN B) CTX, corticosteroids 
C) 43 C) Worsening PN C) CTX, corticosteroids 
34 53 Worsening VEGF, new bone lesions (20 m), new bone marrow involvement (27 m), and worsening skin (49 m) ASCT 
27 66 Worsening erythrocytosis and bone lesions by PET/CT Lenalidomide, corticosteroids 
28 73 Reemergence of M-spike and new bone lesion Irradiation and CyberKnife concurrently 

CTX, cyclophosphamide; PN, peripheral neuropathy.

*

In these patients not all bone lesions initially were irradiated.

This patient met the criteria for relapsed disease, that is, initial improvement but then worsening.

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