The Role of Tologous Stem Cell Transplant in Active Multi Loma

You need to know if someone is responding or progressing. Definitely consider a Tologous stem cell transplant for all those who are eligible and this is based on age, comorbidities and performance status. The timing of a Tologou stem cell transplant is still controversial whether you do this in the early or delayed setting. You want to avoid alkylating agents such as cyclophosphamide or prolonged ones like Cytoxan which I've been using recently.