J 2017

IgM myeloma: A multicenter retrospective study of 134 patients

CASTILLO, J.J.; A. JURCZYSZYN; Lucie BROŽOVÁ; E. CRUSOE; J. CZEPIEL et. al.

Základní údaje

Originální název

IgM myeloma: A multicenter retrospective study of 134 patients

Autoři

CASTILLO, J.J.; A. JURCZYSZYN; Lucie BROŽOVÁ; E. CRUSOE; J. CZEPIEL; J. DAVILA; A. DISPENZIERI; M. EVEILLARD; M.A. FIALA; I.M. GHOBRIAL; A. GOZZETTI; J.N. GUSTINE; R. HAJEK; V. HUNGRIA; Jiří JARKOVSKÝ ORCID; D. JAYABALAN; J.P. LAUBACH; B. LEWICKA; V. MAISNAR; E.E. MANASANCH; P. MOREAU; E.A. MORGAN; H. NAHI; R. NIESVIZKY; C. PABA-PRADA; T. PIKA; Luděk POUR; J.L. REAGAN; P.G. RICHARDSON; J. SHAH; I. SPICKA; R. VIJ; A. WASZCZUK-GAJDA a M.A. GERTZ

Vydání

American Journal of Hematology, Hoboken, Wiley, 2017, 0361-8609

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30205 Hematology

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 5.303

Kód RIV

RIV/00216224:14110/17:00098291

Organizační jednotka

Lékařská fakulta

UT WoS

000405417100344

EID Scopus

2-s2.0-85019759763

Klíčová slova anglicky

IgM myeloma

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 21. 3. 2018 17:47, Soňa Böhmová

Anotace

V originále

IgM myeloma is a rare hematologic malignancy for which the clinicopathological features and patient outcomes have not been extensively studied. We carried out a multicenter retrospective study in patients with diagnosis of IgM myeloma defined by >10% marrow involvement by monoclonal plasma cells, presence of an IgM monoclonal paraproteinemia of any size, and anemia, renal dysfunction, hypercalcemia, lytic lesions and/or t(11;14) identified by FISH. A total of 134 patients from 20 centers were included in this analysis. The median age at diagnosis was 65.5 years with a male predominance (68%). Anemia, renal dysfunction, elevated calcium and skeletal lytic lesions were found in 37, 43, 19, and 70%, respectively. The median serum IgM level was 2,895 mgdL(-1) with 19% of patients presenting with levels >6,000 mgdL(-1). International Staging System (ISS) stages 1, 2, and 3 were seen in 40 (33%), 54 (44%), and 29 (24%) of patients, respectively. The malignant cells expressed CD20 (58%) and cyclin D1 (67%), and t(11;14) was the most common cytogenetic finding (39%). The median overall survival (OS) was 61 months. Higher ISS score was associated with worse survival (P=0.02). Patients with IgM myeloma present with similar characteristics and outcomes as patients with more common myeloma subtypes.