Recommendations for the diagnosis and initial evaluation of patients with Waldenström Macroglobulinemia: A Task Force from the 8th International Workshop on Waldenström Macroglobulinemia
Identifieur interne : 001838 ( Main/Exploration ); précédent : 001837; suivant : 001839Recommendations for the diagnosis and initial evaluation of patients with Waldenström Macroglobulinemia: A Task Force from the 8th International Workshop on Waldenström Macroglobulinemia
Auteurs : Jorge J. Castillo [États-Unis] ; Ramon Garcia-Sanz [Espagne] ; Evdoxia Hatjiharissi [Grèce] ; Robert Kyle [États-Unis] ; Xavier Leleu [France] ; Mary L. Mcmaster [États-Unis] ; Giampaolo Merlini [Italie] ; Monique C. Minnema [Pays-Bas] ; Enrica Morra [Italie] ; Roger Owen [Royaume-Uni] ; Stephanie Poulain [France] ; Marvin Stone [États-Unis] ; Constantine Tam [Australie] ; Marzia Varettoni [Italie] ; Meletios Dimopoulos [Grèce] ; Steven P. Treon [États-Unis] ; Efstathios Kastritis [Grèce]Source :
- British journal of haematology [ 0007-1048 ] ; 2016.
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Abstract
The diagnosis of Waldenström macroglobulinemia (WM) can be challenging given the variety of signs and symptoms patients can present. Furthermore, once the diagnosis of WM is established, the initial evaluation should be thorough as well as appropriately directed. During the 8th International Workshop for WM in London, United Kingdom, a multi-institutional task force was formed to develop consensus recommendations for the diagnosis and initial evaluation of patients with WM. In this document, we present the results of the deliberations taken place to address these issues. We provide recommendations for history taking and physical examination, laboratory studies, bone marrow aspiration and biopsy analysis and imaging studies. We also provide guidance on the initial evaluation of special situations such as anemia, hyperviscosity, neuropathy, Bing-Neel syndrome and amyloidosis. We hope these recommendations serve as a practical guidance to clinicians taking care of patients with a suspected or an established diagnosis of WM.
Url:
DOI: 10.1111/bjh.14196
PubMed: 27378193
PubMed Central: 5154335
Affiliations:
- Australie, Espagne, France, Grèce, Italie, Pays-Bas, Royaume-Uni, États-Unis
- Attique (région), Maryland, Massachusetts, Minnesota, Nouvelle-Aquitaine, Poitou-Charentes, Texas, Utrecht (province), Victoria (État)
- Athènes, Melbourne, Poitiers, Utrecht
- Université de Melbourne
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Castillo</name><affiliation wicri:level="2"><nlm:aff id="A1">Bing Center for Waldenström Macroglobulinemia, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Bing Center for Waldenström Macroglobulinemia, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Garcia Sanz, Ramon" sort="Garcia Sanz, Ramon" uniqKey="Garcia Sanz R" first="Ramon" last="Garcia-Sanz">Ramon Garcia-Sanz</name><affiliation wicri:level="1"><nlm:aff id="A2">Hospital Universitario de Salamanca, Salamanca, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario de Salamanca, Salamanca</wicri:regionArea><wicri:noRegion>Salamanca</wicri:noRegion></affiliation></author><author><name sortKey="Hatjiharissi, Evdoxia" sort="Hatjiharissi, Evdoxia" uniqKey="Hatjiharissi E" first="Evdoxia" last="Hatjiharissi">Evdoxia Hatjiharissi</name><affiliation wicri:level="1"><nlm:aff id="A3">Department of Hematology, Theageneion Hospital of Thessaloniki, Thessaloniki, Greece</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>Department of Hematology, Theageneion Hospital of Thessaloniki, Thessaloniki</wicri:regionArea><wicri:noRegion>Thessaloniki</wicri:noRegion></affiliation></author><author><name sortKey="Kyle, Robert" sort="Kyle, Robert" uniqKey="Kyle R" first="Robert" last="Kyle">Robert Kyle</name><affiliation wicri:level="2"><nlm:aff id="A4">Division of Hematology, Mayo Clinic, Rochester, Minnesota</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Minnesota</region></placeName><wicri:cityArea>Division of Hematology, Mayo Clinic, Rochester</wicri:cityArea></affiliation></author><author><name sortKey="Leleu, Xavier" sort="Leleu, Xavier" uniqKey="Leleu X" first="Xavier" last="Leleu">Xavier Leleu</name><affiliation wicri:level="3"><nlm:aff id="A5">La Miletrie Hospital, CHU Poitiers, Poitiers, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>La Miletrie Hospital, CHU Poitiers, Poitiers</wicri:regionArea><placeName><region type="region">Nouvelle-Aquitaine</region><region type="old region">Poitou-Charentes</region><settlement type="city">Poitiers</settlement></placeName></affiliation></author><author><name sortKey="Mcmaster, Mary L" sort="Mcmaster, Mary L" uniqKey="Mcmaster M" first="Mary L." last="Mcmaster">Mary L. Mcmaster</name><affiliation wicri:level="2"><nlm:aff id="A6">Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, Maryland</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Merlini, Giampaolo" sort="Merlini, Giampaolo" uniqKey="Merlini G" first="Giampaolo" last="Merlini">Giampaolo Merlini</name><affiliation wicri:level="1"><nlm:aff id="A7">Amyloidosis Research and Treatment Center, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Amyloidosis Research and Treatment Center, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia</wicri:regionArea><wicri:noRegion>Pavia</wicri:noRegion></affiliation></author><author><name sortKey="Minnema, Monique C" sort="Minnema, Monique C" uniqKey="Minnema M" first="Monique C." last="Minnema">Monique C. Minnema</name><affiliation wicri:level="3"><nlm:aff id="A8">University Medical Centre Utrecht, Utrecht, the Netherlands</nlm:aff><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>University Medical Centre Utrecht, Utrecht</wicri:regionArea><placeName><settlement type="city">Utrecht</settlement><region nuts="2" type="province">Utrecht (province)</region></placeName></affiliation></author><author><name sortKey="Morra, Enrica" sort="Morra, Enrica" uniqKey="Morra E" first="Enrica" last="Morra">Enrica Morra</name><affiliation wicri:level="1"><nlm:aff id="A9">Division of Hematology, Niguarda Ca’ Granda Hospital, Milano, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Hematology, Niguarda Ca’ Granda Hospital, Milano</wicri:regionArea><wicri:noRegion>Milano</wicri:noRegion></affiliation></author><author><name sortKey="Owen, Roger" sort="Owen, Roger" uniqKey="Owen R" first="Roger" last="Owen">Roger Owen</name><affiliation wicri:level="1"><nlm:aff id="A10">St James’s Institute of Oncology, Leeds Teaching Hospitals NHS Trust, Leeds, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>St James’s Institute of Oncology, Leeds Teaching Hospitals NHS Trust, Leeds</wicri:regionArea><wicri:noRegion>Leeds</wicri:noRegion></affiliation></author><author><name sortKey="Poulain, Stephanie" sort="Poulain, Stephanie" uniqKey="Poulain S" first="Stephanie" last="Poulain">Stephanie Poulain</name><affiliation wicri:level="1"><nlm:aff id="A11">Service d’Hématologie-Immunologie-Cytogénétique, Centre Hospitalier de Valenciennes, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Service d’Hématologie-Immunologie-Cytogénétique, Centre Hospitalier de Valenciennes</wicri:regionArea><wicri:noRegion>Centre Hospitalier de Valenciennes</wicri:noRegion><wicri:noRegion>Centre Hospitalier de Valenciennes</wicri:noRegion></affiliation></author><author><name sortKey="Stone, Marvin" sort="Stone, Marvin" uniqKey="Stone M" first="Marvin" last="Stone">Marvin Stone</name><affiliation wicri:level="2"><nlm:aff id="A12">Department of Oncology, Baylor Charles A Sammons Cancer Center, Dallas, TX, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Oncology, Baylor Charles A Sammons Cancer Center, Dallas, TX</wicri:regionArea><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Tam, Constantine" sort="Tam, Constantine" uniqKey="Tam C" first="Constantine" last="Tam">Constantine Tam</name><affiliation wicri:level="4"><nlm:aff id="A13">Department of Haematology, Peter MacCallum Cancer Centre, University of Melbourne, Melbourne, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Haematology, Peter MacCallum Cancer Centre, University of Melbourne, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region><settlement type="city">Melbourne</settlement></placeName><orgName type="university">Université de Melbourne</orgName></affiliation></author><author><name sortKey="Varettoni, Marzia" sort="Varettoni, Marzia" uniqKey="Varettoni M" first="Marzia" last="Varettoni">Marzia Varettoni</name><affiliation wicri:level="1"><nlm:aff id="A14">Department of Hematology Oncology, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Hematology Oncology, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia</wicri:regionArea><wicri:noRegion>Pavia</wicri:noRegion></affiliation></author><author><name sortKey="Dimopoulos, Meletios" sort="Dimopoulos, Meletios" uniqKey="Dimopoulos M" first="Meletios" last="Dimopoulos">Meletios Dimopoulos</name><affiliation wicri:level="3"><nlm:aff id="A15">Department of Clinical Therapeutics, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>Department of Clinical Therapeutics, National and Kapodistrian University of Athens, School of Medicine, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Treon, Steven P" sort="Treon, Steven P" uniqKey="Treon S" first="Steven P." last="Treon">Steven P. Treon</name><affiliation wicri:level="2"><nlm:aff id="A1">Bing Center for Waldenström Macroglobulinemia, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Bing Center for Waldenström Macroglobulinemia, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Kastritis, Efstathios" sort="Kastritis, Efstathios" uniqKey="Kastritis E" first="Efstathios" last="Kastritis">Efstathios Kastritis</name><affiliation wicri:level="3"><nlm:aff id="A15">Department of Clinical Therapeutics, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>Department of Clinical Therapeutics, National and Kapodistrian University of Athens, School of Medicine, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author></analytic><series><title level="j">British journal of haematology</title><idno type="ISSN">0007-1048</idno><idno type="eISSN">1365-2141</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Advisory Committees</term><term>Humans</term><term>London</term><term>Practice Guidelines as Topic</term><term>Waldenstrom Macroglobulinemia (diagnosis)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Comités consultatifs</term><term>Guides de bonnes pratiques cliniques comme sujet</term><term>Humains</term><term>Londres</term><term>Macroglobulinémie de Waldenström (diagnostic)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Waldenstrom Macroglobulinemia</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Macroglobulinémie de Waldenström</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Advisory Committees</term><term>Humans</term><term>London</term><term>Practice Guidelines as Topic</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Comités consultatifs</term><term>Guides de bonnes pratiques cliniques comme sujet</term><term>Humains</term><term>Londres</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">The diagnosis of Waldenström macroglobulinemia (WM) can be challenging given the variety of signs and symptoms patients can present. Furthermore, once the diagnosis of WM is established, the initial evaluation should be thorough as well as appropriately directed. During the 8th International Workshop for WM in London, United Kingdom, a multi-institutional task force was formed to develop consensus recommendations for the diagnosis and initial evaluation of patients with WM. In this document, we present the results of the deliberations taken place to address these issues. We provide recommendations for history taking and physical examination, laboratory studies, bone marrow aspiration and biopsy analysis and imaging studies. We also provide guidance on the initial evaluation of special situations such as anemia, hyperviscosity, neuropathy, Bing-Neel syndrome and amyloidosis. We hope these recommendations serve as a practical guidance to clinicians taking care of patients with a suspected or an established diagnosis of WM.</p></div></front></TEI><affiliations><list><country><li>Australie</li><li>Espagne</li><li>France</li><li>Grèce</li><li>Italie</li><li>Pays-Bas</li><li>Royaume-Uni</li><li>États-Unis</li></country><region><li>Attique (région)</li><li>Maryland</li><li>Massachusetts</li><li>Minnesota</li><li>Nouvelle-Aquitaine</li><li>Poitou-Charentes</li><li>Texas</li><li>Utrecht (province)</li><li>Victoria (État)</li></region><settlement><li>Athènes</li><li>Melbourne</li><li>Poitiers</li><li>Utrecht</li></settlement><orgName><li>Université de Melbourne</li></orgName></list><tree><country name="États-Unis"><region name="Massachusetts"><name sortKey="Castillo, Jorge J" sort="Castillo, Jorge J" uniqKey="Castillo J" first="Jorge J." last="Castillo">Jorge J. Castillo</name></region><name sortKey="Kyle, Robert" sort="Kyle, Robert" uniqKey="Kyle R" first="Robert" last="Kyle">Robert Kyle</name><name sortKey="Mcmaster, Mary L" sort="Mcmaster, Mary L" uniqKey="Mcmaster M" first="Mary L." last="Mcmaster">Mary L. Mcmaster</name><name sortKey="Stone, Marvin" sort="Stone, Marvin" uniqKey="Stone M" first="Marvin" last="Stone">Marvin Stone</name><name sortKey="Treon, Steven P" sort="Treon, Steven P" uniqKey="Treon S" first="Steven P." last="Treon">Steven P. Treon</name></country><country name="Espagne"><noRegion><name sortKey="Garcia Sanz, Ramon" sort="Garcia Sanz, Ramon" uniqKey="Garcia Sanz R" first="Ramon" last="Garcia-Sanz">Ramon Garcia-Sanz</name></noRegion></country><country name="Grèce"><noRegion><name sortKey="Hatjiharissi, Evdoxia" sort="Hatjiharissi, Evdoxia" uniqKey="Hatjiharissi E" first="Evdoxia" last="Hatjiharissi">Evdoxia Hatjiharissi</name></noRegion><name sortKey="Dimopoulos, Meletios" sort="Dimopoulos, Meletios" uniqKey="Dimopoulos M" first="Meletios" last="Dimopoulos">Meletios Dimopoulos</name><name sortKey="Kastritis, Efstathios" sort="Kastritis, Efstathios" uniqKey="Kastritis E" first="Efstathios" last="Kastritis">Efstathios Kastritis</name></country><country name="France"><region name="Nouvelle-Aquitaine"><name sortKey="Leleu, Xavier" sort="Leleu, Xavier" uniqKey="Leleu X" first="Xavier" last="Leleu">Xavier Leleu</name></region><name sortKey="Poulain, Stephanie" sort="Poulain, Stephanie" uniqKey="Poulain S" first="Stephanie" last="Poulain">Stephanie Poulain</name></country><country name="Italie"><noRegion><name sortKey="Merlini, Giampaolo" sort="Merlini, Giampaolo" uniqKey="Merlini G" first="Giampaolo" last="Merlini">Giampaolo Merlini</name></noRegion><name sortKey="Morra, Enrica" sort="Morra, Enrica" uniqKey="Morra E" first="Enrica" last="Morra">Enrica Morra</name><name sortKey="Varettoni, Marzia" sort="Varettoni, Marzia" uniqKey="Varettoni M" first="Marzia" last="Varettoni">Marzia Varettoni</name></country><country name="Pays-Bas"><region name="Utrecht (province)"><name sortKey="Minnema, Monique C" sort="Minnema, Monique C" uniqKey="Minnema M" first="Monique C." last="Minnema">Monique C. Minnema</name></region></country><country name="Royaume-Uni"><noRegion><name sortKey="Owen, Roger" sort="Owen, Roger" uniqKey="Owen R" first="Roger" last="Owen">Roger Owen</name></noRegion></country><country name="Australie"><region name="Victoria (État)"><name sortKey="Tam, Constantine" sort="Tam, Constantine" uniqKey="Tam C" first="Constantine" last="Tam">Constantine Tam</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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