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iwHRMM 2026 | Circulating and extramedullary disease in myeloma: biology and emerging treatments

Saurabh Zanwar, MD, MBBS, Mayo Clinic, Rochester, MN, Darren Pan, MD, UCSF Health, San Francisco, CA, and Niels Weinhold, PhD, University Hospital Heidelberg, Heidelberg, Germany, discuss the biological characteristics and treatment challenges of extramedullary disease in multiple myeloma. The panel explores differences between true extramedullary and paraskeletal disease, genomic signatures and disease proliferation, as well as emerging treatment strategies involving CAR T-cell therapy, bispecific antibodies, and intensive bridging chemotherapy. This discussion took place at the 3rd International Workshop on High-Risk Multiple Myeloma (iwHRMM 2026), held in Charleston, SC.

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