NCCN Guidelines for Patients® | Multiple Myeloma - page 26

NCCN Guidelines for Patients
Multiple Myeloma, Version 1.2014
Treatments for
myeloma and its
24 Local therapy
25 Systemic therapy
27 Stem cell transplant
29 Adjunctive treatment
31 Clinical trials
32 Side effects of cancer treatments
36 Websites | Review
There is more than one treatment for
multiple myeloma. The main types
are described on the next pages.
Treatments for the symptoms caused
by myeloma are also included. This
information may help you use the
Treatment guide
in Part 4. It may also
help you know what to expect during
treatment. Not every person with
myeloma will receive every treatment
Local therapy
Local therapy treats cancer cells in one small, specific
area of the body only. A solitary plasmacytoma is
a single mass of myeloma cells. It can be located
inside (osseous) or outside (extraosseous) of the
bone. Because the myeloma cells have not spread
throughout the bone marrow, local therapy can be
used for solitary plasmacytomas. Local therapy
options are described below.
Radiation therapy
Radiation therapy uses high-energy rays to treat
cancer. The rays damage cells’ genes. This either
kills the cancer cells or stops new cancer cells from
being made. EBRT (
is the most common type of radiation therapy used to
treat solitary plasmacytomas. For EBRT, a machine
outside the body delivers radiation to the cancer site.
But, the radiation may also damage normal cells.
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