Prof. Cai Zhen: Challenges and Advances in the Treatment of Extramedullary Disease in Multiple Myeloma | 2026 Cross-Strait Hematology Conference
Extramedullary disease (EMD), an aggressive manifestation of multiple myeloma, presents longstanding challenges in clinical management, including substantial biological heterogeneity, difficulties in diagnosis and response assessment, resistance to conventional therapies, and a lack of high-level evidence from clinical trials. During the 2026 Cross-Strait Hematology Conference, Prof. Cai Zhen of the First Affiliated Hospital of Zhejiang University School of Medicine spoke with Oncology Frontier – Hematology Frontier about the key challenges of EMD, including target antigen escape, an immunosuppressive microenvironment, and difficulties in imaging-based response assessment. He also reviewed the latest advances and evolving treatment strategies involving bispecific antibodies, CAR-T-cell therapy, and novel antibody-drug conjugates (ADCs), providing authoritative and cutting-edge clinical insights into improving outcomes for patients with this high-risk disease subtype.









