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. 2021 Feb 11;100(6):1537–1546. doi: 10.1007/s00277-021-04447-6

Table 2.

Clinical and immunohistochemical profile of patients with histologically confirmed extramedullary myeloma

Identifier E1 E3#1 E8 E16 E17 E18#2
General Age at dx 47 68 46 60 54 55
Sex m m m m m m
Subtype λLC IgGκ IgGλ IgGκ IgAκ IgGκ
S&D at dx IIIB IA IIIA IIIA IIIB IIIA
ISS at dx 2 1 ND 2 3 ND
FISH Normal t(4;14), +1q21 ND del13q14, del1p32, +1q21 del17p, t(4;14), del13q14, +1q21 Normal
Previous lines of therapy 3 3 4 5 3 2
Prior SCT, type (number) Auto (2) Auto (2)

Auto (1)

allo (1)

Auto (2) Auto (2) Auto (3)
Prior IMiDs Len Thal, Len Len Len, Pom Len, Pom None
Prior PIs Bort Bort, Carf Bort, Carf Bort Bort Bort
Prior mAbs None Dara Dara None None None
EMD prior to elotuzumab Yes Yes Yes No No No
Elotuzumab treatment Time from dx (months) 26 27 144 41 15 186
Combination IMiD Pom Pom Pom Pom Len, Pom Len
Treatment cycles 10 3 1 1 3 7
Best response PR PR PD SD SD PR
PFS (months) 9.4 2.9 1.3 0.9 2.7 9.0
OS (months) 12.9 4.4 5.4 1.0 4.7 >9.8#3
Type of progression

Serological

+ EMD

Serological + EMD EMD EMD EMD Serological + EMD
IHC Localization of EMD Paravertebral soft tissue Skin Paravertebral soft tissue Maxillary mucosa Lymph node Thoracic wall
SLAMF7 on CD138+ EM MM +++#4 +++ +++ +++ +++ +++
SLAMF7 on CD138+ BM MM +++ +++ +++ +++ +++ +++

dx diagnosis; S&D Salmon&Durie; LC light chain; Ig immunoglobulin; ISS International Staging System; ND not done; FISH fluorescence in situ hybridization; SCT stem cell transplantation; auto autologous; allo allogeneic; IMiD immunomodulatory drug; Len lenalidomide; Thal thalidomide; Pom pomalidomide; PI proteasome inhibitor; Bort bortezomib; Carf carfilzomib; mAb monoclonal antibody; Dara daratumumab; EMD extramedullary disease; Elo elotuzumab; PR partial response; PD progressive disease; SD stable disease; PFS progression-free survival; OS overall survival; IHC immunohistochemistry; EM extramedullary; MM multiple myeloma; BM bone marrow

#1Fig. 2

#2Fig. 3

#3Lost to follow-up

#4Strong and consistent expression