Key considerations in assessing relapse
. | Element . | Considerations . |
---|---|---|
Patient | Frailty | Fit, intermediate, frail |
Comorbidities and prior toxicities | Cardiovascular disease, neuropathy, and cytopenias to prior therapy are particularly important to recognize | |
Practical limitations | Travel, cost, cognitive impairment, caregiver support | |
Disease | Risk | FISH, karyotype |
Change in phenotype | Plasma cell leukemia, extramedullary disease, amyloidosis | |
Dynamics of relapse | Slow vs rapid, serologic vs symptoms | |
Refractoriness | Single, dual, or more |
. | Element . | Considerations . |
---|---|---|
Patient | Frailty | Fit, intermediate, frail |
Comorbidities and prior toxicities | Cardiovascular disease, neuropathy, and cytopenias to prior therapy are particularly important to recognize | |
Practical limitations | Travel, cost, cognitive impairment, caregiver support | |
Disease | Risk | FISH, karyotype |
Change in phenotype | Plasma cell leukemia, extramedullary disease, amyloidosis | |
Dynamics of relapse | Slow vs rapid, serologic vs symptoms | |
Refractoriness | Single, dual, or more |