Monoklonale Gammopathie unklarer Signifikanz – ein häufiger Nebenbefund
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Monoklonale Gammopathie unklarer Signifikanz – ein häufiger Nebenbefund : Woran ist zu denken? Was ist zu tun? / Schieferdecker, Aneta; Binder, Mascha; Weisel, Katja; Bokemeyer, Carsten.
In: DEUT MED WOCHENSCHR, Vol. 144, No. 14, 07.2019, p. 982-989.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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TY - JOUR
T1 - Monoklonale Gammopathie unklarer Signifikanz – ein häufiger Nebenbefund
T2 - Woran ist zu denken? Was ist zu tun?
AU - Schieferdecker, Aneta
AU - Binder, Mascha
AU - Weisel, Katja
AU - Bokemeyer, Carsten
N1 - © Georg Thieme Verlag KG Stuttgart · New York.
PY - 2019/7
Y1 - 2019/7
N2 - Monoclonal gammopathy of unclear significance (MGUS) is detected at high frequency in a variety of disciplines as an incidental finding. MGUS can be associated with non-malignant diseases, but it also can be a precursor of malignant lymphoproliferative disorders (multiple myeloma, Waldenstroem's disease, other non-Hodgkin's lymphoma, light chain (AL) - amyloidosis). However, many of these patients remain asymptomatic throughout their lives. Screening is performed by serum protein electrophoresis, immunofixation and determination of quantitative immunoglobulins and free light chains in serum. Currently, general population screening is not recommended. There are three subtypes with different rates and types of progression: IgM-MGUS, non-IgM-MGUS, and light-chain MGUS. The scope of further diagnostics and follow-up is based on the clinical findings and risk stratification (monoclonal protein in serum < or ≥ 15 g/l and normal or abnormal free light chain ratio in serum). If paraprotein-associated disease is detected, gammopathy is of clinical significance and should not be referred to as MGUS.
AB - Monoclonal gammopathy of unclear significance (MGUS) is detected at high frequency in a variety of disciplines as an incidental finding. MGUS can be associated with non-malignant diseases, but it also can be a precursor of malignant lymphoproliferative disorders (multiple myeloma, Waldenstroem's disease, other non-Hodgkin's lymphoma, light chain (AL) - amyloidosis). However, many of these patients remain asymptomatic throughout their lives. Screening is performed by serum protein electrophoresis, immunofixation and determination of quantitative immunoglobulins and free light chains in serum. Currently, general population screening is not recommended. There are three subtypes with different rates and types of progression: IgM-MGUS, non-IgM-MGUS, and light-chain MGUS. The scope of further diagnostics and follow-up is based on the clinical findings and risk stratification (monoclonal protein in serum < or ≥ 15 g/l and normal or abnormal free light chain ratio in serum). If paraprotein-associated disease is detected, gammopathy is of clinical significance and should not be referred to as MGUS.
KW - Disease Progression
KW - Humans
KW - Incidental Findings
KW - Monoclonal Gammopathy of Undetermined Significance/diagnosis
U2 - 10.1055/a-0832-3393
DO - 10.1055/a-0832-3393
M3 - SCORING: Review
C2 - 31311049
VL - 144
SP - 982
EP - 989
JO - DEUT MED WOCHENSCHR
JF - DEUT MED WOCHENSCHR
SN - 0012-0472
IS - 14
ER -