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*Journal Review
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*New insight into the Pathophysiology of Multiple Myeloma
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**Nursing Leukaemia
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* Author(s)
 Seidl S, Kaufmann and Drach J
* Publication
 The Lancet Oncology
* Reference
 Vol 4
* Publication Date
 September 2003
* Link
 http://oncolgy.thelancet.com
* for experts Relevant to nurses in haematology to inform knowledge of the Pathophysiology of the disease.

This is an in depth review of multiple myeloma, which takes the reader from normal B cell development, through the malignant changes which take place in myeloma.

Cytogenetics are considered discussing the characteristic chromosomal abnormalities, the authors also consider oncogenic events including the mutation of p53 and the role of cytokines. Bone lesions are explained and therapies mentioned.

Although this is an in depth review it can be utilised as a reference tool to be read in its entirety or selected sections.



Comment by: Tracey Burgoyne, Lecturer/Practitioner Cancer Care, University of Central England, 2004.


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