0
A 79-year-old Caucasian man presents with a chief complaint of back pain. Hemoglo bin is 9.7 g/dl. leukocyte count 7.600/Jll. and platelet count 21 LJ,OOO/fll. BUN is 26 mg/dl. creatinine 2.1 mg/dl. total protein 9.0 g/dl. albumin 3.1 g/dl. and calcium 10.9 mg/dl. The images below show the bone marrow aspirate and a skull film from the skeletal survey.I
n determining eligibility for hematopoietic stem cell transplantation in a patient with MM, which of the following would be considered a possible reason for exclusion from transplant?
- ECOG performance status 2
- Serum creatinine of 4 mg/dL, not on dialysis
- Age> 65
- History of ischemic stoke
- Failed > 2 lines of treatment
Medicine
B. NYHA stage III/IV heart failure, direct bilirubin> 2.0 mg/dL, ECOG PS 3 or 4, age more than 77 years, and serum creatinine > 2.5 unless the patient is established on dialysis are common exclusion criteria used when evaluating patients for HSCT.
need an explanation for this answer? contact us directly to get an explanation for this answer