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Consensus recommendations for standard investigative workup: report of the International Myeloma Workshop Consensus Panel 3

Identifieur interne : 006C34 ( Main/Exploration ); précédent : 006C33; suivant : 006C35

Consensus recommendations for standard investigative workup: report of the International Myeloma Workshop Consensus Panel 3

Auteurs : Meletios Dimopoulos [Grèce] ; Robert Kyle [États-Unis] ; Jean-Paul Fermand [France] ; S. Vincent Rajkumar [États-Unis] ; Jesus San Miguel [Espagne] ; Asher Chanan-Khan [États-Unis] ; Heinz Ludwig [Autriche] ; Douglas Joshua [Australie] ; Jayesh Mehta [États-Unis] ; Morie Gertz [États-Unis] ; Hervé Avet-Loiseau [France] ; Meral Beksac [Turquie] ; Kenneth C. Anderson [États-Unis] ; Philippe Moreau [France] ; Seema Singhal [États-Unis] ; Hartmut Goldschmidt [Allemagne] ; Mario Boccadoro [Italie] ; Shaji Kumar [États-Unis] ; Sergio Giralt [États-Unis] ; Nikhil C. Munshi [États-Unis] ; Sundar Jagannath [États-Unis]

Source :

RBID : Pascal:11-0234147

Descripteurs français

English descriptors

Abstract

A panel of members of the 2009 International Myeloma Workshop developed guidelines for standard investigative workup of patients with suspected multiple myeloma. Both serum and urine should be assessed for monoclonal protein. Measurement of monoclonal protein both by densitometer tracing and/by nephelometric quantitation is recommended, and immunofixation is required for confirmation. The serum-free light chain assay is recommended in all newly diagnosed patients with plasma cell dyscrasias. Bone marrow aspiration and/or biopsy along with demonstration of clonality of plasma cells are necessary. Serum β2-microglobulin, albumin, and lactate dehydrogenase are necessary for prognostic purposes. Standard metaphase cytogenetics and fluorescent in situ hybridization for 17p, t(4;14), and t(14;16) are recommended. The skeletal survey remains the standard method for imaging screening, but magnetic resonance imaging frequently provides valuable diagnostic and prognostic information. Most of these tests are repeated during follow-up or at relapse.


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Le document en format XML

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<title xml:lang="en" level="a">Consensus recommendations for standard investigative workup: report of the International Myeloma Workshop Consensus Panel 3</title>
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<name sortKey="Gertz, Morie" sort="Gertz, Morie" uniqKey="Gertz M" first="Morie" last="Gertz">Morie Gertz</name>
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<name sortKey="Avet Loiseau, Herve" sort="Avet Loiseau, Herve" uniqKey="Avet Loiseau H" first="Hervé" last="Avet-Loiseau">Hervé Avet-Loiseau</name>
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<name sortKey="Beksac, Meral" sort="Beksac, Meral" uniqKey="Beksac M" first="Meral" last="Beksac">Meral Beksac</name>
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</author>
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<author>
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<country>États-Unis</country>
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</author>
<author>
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<country>États-Unis</country>
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</analytic>
<series>
<title level="j" type="main">Blood</title>
<title level="j" type="abbreviated">Blood</title>
<idno type="ISSN">0006-4971</idno>
<imprint>
<date when="2011">2011</date>
</imprint>
</series>
</biblStruct>
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<seriesStmt>
<title level="j" type="main">Blood</title>
<title level="j" type="abbreviated">Blood</title>
<idno type="ISSN">0006-4971</idno>
</seriesStmt>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>B cell neoplasm</term>
<term>Consensus</term>
<term>Hematology</term>
<term>International</term>
<term>Lymphoid neoplasm</term>
<term>Myeloma</term>
<term>Recommendation</term>
<term>Standards</term>
<term>Workshop</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Myélome</term>
<term>Consensus</term>
<term>Recommandation</term>
<term>Norme</term>
<term>International</term>
<term>Atelier</term>
<term>Hématologie</term>
<term>Hémopathie maligne lymphoïde</term>
<term>Hémopathie lymphoïde B</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Recommandation</term>
<term>Norme</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">A panel of members of the 2009 International Myeloma Workshop developed guidelines for standard investigative workup of patients with suspected multiple myeloma. Both serum and urine should be assessed for monoclonal protein. Measurement of monoclonal protein both by densitometer tracing and/by nephelometric quantitation is recommended, and immunofixation is required for confirmation. The serum-free light chain assay is recommended in all newly diagnosed patients with plasma cell dyscrasias. Bone marrow aspiration and/or biopsy along with demonstration of clonality of plasma cells are necessary. Serum β
<sub>2</sub>
-microglobulin, albumin, and lactate dehydrogenase are necessary for prognostic purposes. Standard metaphase cytogenetics and fluorescent in situ hybridization for 17p, t(4;14), and t(14;16) are recommended. The skeletal survey remains the standard method for imaging screening, but magnetic resonance imaging frequently provides valuable diagnostic and prognostic information. Most of these tests are repeated during follow-up or at relapse.</div>
</front>
</TEI>
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<country>
<li>Allemagne</li>
<li>Australie</li>
<li>Autriche</li>
<li>Espagne</li>
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<li>Grèce</li>
<li>Italie</li>
<li>Turquie</li>
<li>États-Unis</li>
</country>
<region>
<li>Attique (région)</li>
<li>Bade-Wurtemberg</li>
<li>District de Karlsruhe</li>
<li>Pays de la Loire</li>
<li>Piémont</li>
<li>Vienne (Autriche)</li>
<li>Île-de-France</li>
</region>
<settlement>
<li>Athènes</li>
<li>Heidelberg</li>
<li>Nantes</li>
<li>Paris</li>
<li>Turin</li>
<li>Vienne (Autriche)</li>
</settlement>
</list>
<tree>
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<region name="Attique (région)">
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<name sortKey="Vincent Rajkumar, S" sort="Vincent Rajkumar, S" uniqKey="Vincent Rajkumar S" first="S." last="Vincent Rajkumar">S. Vincent Rajkumar</name>
</country>
<country name="France">
<region name="Île-de-France">
<name sortKey="Fermand, Jean Paul" sort="Fermand, Jean Paul" uniqKey="Fermand J" first="Jean-Paul" last="Fermand">Jean-Paul Fermand</name>
</region>
<name sortKey="Avet Loiseau, Herve" sort="Avet Loiseau, Herve" uniqKey="Avet Loiseau H" first="Hervé" last="Avet-Loiseau">Hervé Avet-Loiseau</name>
<name sortKey="Moreau, Philippe" sort="Moreau, Philippe" uniqKey="Moreau P" first="Philippe" last="Moreau">Philippe Moreau</name>
</country>
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<noRegion>
<name sortKey="San Miguel, Jesus" sort="San Miguel, Jesus" uniqKey="San Miguel J" first="Jesus" last="San Miguel">Jesus San Miguel</name>
</noRegion>
</country>
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<region name="Vienne (Autriche)">
<name sortKey="Ludwig, Heinz" sort="Ludwig, Heinz" uniqKey="Ludwig H" first="Heinz" last="Ludwig">Heinz Ludwig</name>
</region>
</country>
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<noRegion>
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<name sortKey="Beksac, Meral" sort="Beksac, Meral" uniqKey="Beksac M" first="Meral" last="Beksac">Meral Beksac</name>
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<region name="Bade-Wurtemberg">
<name sortKey="Goldschmidt, Hartmut" sort="Goldschmidt, Hartmut" uniqKey="Goldschmidt H" first="Hartmut" last="Goldschmidt">Hartmut Goldschmidt</name>
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</country>
<country name="Italie">
<region name="Piémont">
<name sortKey="Boccadoro, Mario" sort="Boccadoro, Mario" uniqKey="Boccadoro M" first="Mario" last="Boccadoro">Mario Boccadoro</name>
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</country>
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</affiliations>
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