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May 28, 2003British Journal of HaematologyOpen Access

Criteria for the classification of monoclonal gammopathies, multiple myeloma and related disorders: a report of the International Myeloma Working Group

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Overview

Consensus review reports standardized diagnostic criteria in monoclonal gammopathy and myeloma, facilitating therapeutic trial comparisons.

Key Points

  • Establish simple, reliable, and standardized consensus criteria for diagnosing and classifying monoclonal gammopathies and multiple myeloma using routinely available clinical tests.
  • Convened the International Myeloma Working Group to review diagnostic criteria and classification systems for plasma cell proliferative disorders.
  • Defined disease categories based on routine laboratory tests measuring monoclonal protein levels, bone marrow clonal plasma cell percentages, and clinical signs of end-organ impairment.
  • Monoclonal gammopathy of undetermined significance (MGUS) is classified by serum monoclonal protein < 30 g/l, bone marrow clonal cells < 10%, and no evidence of multiple myeloma, other B-cell disorders, or amyloidosis.
  • Asymptomatic (smouldering) myeloma is characterized by monoclonal protein ≥ 30 g/l and/or bone marrow clonal cells ≥ 10% without related organ or tissue impairment (ROTI).
  • Symptomatic myeloma requires demonstrated ROTI (hypercalcemia, renal insufficiency, anemia, or bone lesions), with distinct definitions also established for non-secretory myeloma and solitary plasmacytomas.

Cite This Study

A 2003 study studied this question.

synapsesocial.com/papers/6a7d324d00c5c9efbcaa113dhttps://doi.org/10.1046/j.1365-2141.2003.04355.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Monoclonal Gammopathies. Multiple Myeloma and Related Plasma-Cell Disorders.1977 · 52 citations
  2. 2Sequence of Testing for Monoclonal Gammopathies1999 · 136 citations
  3. 3Blood clonal B‐cell excess in patients with monoclonal gammopathy of undetermined significance (MGUS): association with malignant transformation1996 · 32 citations
  4. 4Extramedullary plasmacytoma1999 · 569 citations
  5. 5Serum free light-chain measurements for identifying and monitoring patients with nonsecretory multiple myeloma2001 · 423 citations