A 72-year-old man is evaluated because of back pain and fatigue. Laboratory values indicate he is anemic, with normal leukocyte count and platelet count. He has mild hypercalcemia and a normal serum creatinine level. His gamma globulins are elevated, and serum protein electrophoresis shows the presence of a monoclonal protein, an IgG- K light chain containing immunoglobulin at 4.4 g/dL. His bone marrow contains 20% plasma cells. A skeletal survey reveals multiple osteolytic lesions in the spine, ribs, and skull. Therapy with melphalan and prednisone is initiated. Which of the following agents would NOT be routinely used in his management?

Question

Quizplus · Accepted Answer

Intravenous gamma globulin is not routinely used in the management of multiple myeloma, which is the condition described. The other options (A, B, D, E) are commonly used in the management of symptoms or complications associated with multiple myeloma.

A 72-Year-Old Man Is Evaluated Because of Back Pain and Fatigue