Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\25838344
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Blood
2015 ; 125
(20
): 3069-75
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Smoldering multiple myeloma
#MMPMID25838344
Rajkumar SV
; Landgren O
; Mateos MV
Blood
2015[May]; 125
(20
): 3069-75
PMID25838344
show ga
Smoldering multiple myeloma (SMM) is an asymptomatic clonal plasma cell disorder.
SMM is distinguished from monoclonal gammopathy of undetermined significance by a
much higher risk of progression to multiple myeloma (MM). There have been major
advances in the diagnosis, prognosis, and management of SMM in the last few
years. These include a revised disease definition, identification of several new
prognostic factors, a classification based on underlying cytogenetic changes, and
new treatment options. Importantly, a subset of patients previously considered
SMM is now reclassified as MM on the basis of biomarkers identifying patients
with an ?80% risk of progression within 2 years. SMM has assumed greater
significance on the basis of recent trials showing that early therapy can be
potentially beneficial to patients. As a result, there is a need to accurately
diagnose and risk-stratify patients with SMM, including routine incorporation of
modern imaging and laboratory techniques. In this review, we outline current
concepts in diagnosis and risk stratification of SMM, and provide specific
recommendations on the management of SMM.