Serum double monoclonal components and hematological malignancies: Only a casual association? Review of 34 cases

被引:21
作者
Guastafierro, Salvatore [1 ]
Ferrara, Maria Giovanna [1 ]
Sica, Antonello [1 ]
Parascandola, Rita Rosaria [1 ]
Santangelo, Sara [1 ]
Falcone, Umberto [1 ]
机构
[1] Univ Naples 2, Div Hematol, Naples, Italy
关键词
Double monoclonal component; Hematological malignancies; Immunofixation; Biclonal gammopathy; Diagnosis; BICLONAL GAMMOPATHIES;
D O I
10.1016/j.leukres.2012.05.008
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
A double monoclonal component (MC) detected in the serum and/or urine represents a very rare occurrence (2-6% of monoclonal gammopathies). In this study, we report 34 patients with double serum MCs, focusing on the associated diseases. The diagnosis was made using high-resolution serum protein electrophoresis and immunofixation. Of the 1214 patients with monoclonal gammopathies, 49 had a double MC but only 34 (2.8%) were included in our study. A double MC was associated with hematological malignancies in 20/34 cases. Based on our experience, a double MC is more often associated with other diseases, especially an oncohematological one. (C) 2012 Elsevier Ltd. All rights reserved.
引用
收藏
页码:1274 / 1277
页数:4
相关论文
共 12 条
[1]  
Alno-Nakhal M, 1983, Rev Med Interne, V4, P83, DOI 10.1016/S0248-8663(83)80048-4
[2]   TRANSIENT EXPRESSION OF A 2ND MONOCLONAL COMPONENT IN 2 FORMS OF BICLONAL GAMMOPATHY [J].
BAST, EJEG ;
SLAPERCORTENBACH, CM ;
VERDONCK, LF ;
SAMSON, W ;
BALLIEUX, RE .
BRITISH JOURNAL OF HAEMATOLOGY, 1985, 60 (01) :91-97
[3]  
BOUVET JP, 1983, PRESSE MED, V12, P2511
[4]   Incidence and Type of Monoclonal or Biclonal Gammopathies in Scrub Typhus [J].
Cho, J. Hyun ;
Park, Do Sim .
KOREAN JOURNAL OF LABORATORY MEDICINE, 2009, 29 (02) :116-121
[5]  
Cohen Y, 1993, HAREFUAH, V124, P456
[6]   Consensus recommendations for standard investigative workup: report of the International Myeloma Workshop Consensus Panel 3 [J].
Dimopoulos, Meletios ;
Kyle, Robert ;
Fermand, Jean-Paul ;
Rajkumar, S. Vincent ;
San Miguel, Jesus ;
Chanan-Khan, Asher ;
Ludwig, Heinz ;
Joshua, Douglas ;
Mehta, Jayesh ;
Gertz, Morie ;
Avet-Loiseau, Herve ;
Beksac, Meral ;
Anderson, Kenneth C. ;
Moreau, Philippe ;
Singhal, Seema ;
Goldschmidt, Hartmut ;
Boccadoro, Mario ;
Kumar, Shaji ;
Giralt, Sergio ;
Munshi, Nikhil C. ;
Jagannath, Sundar .
BLOOD, 2011, 117 (18) :4701-4705
[7]  
García MEG, 2008, REV CLIN ESP, V208, P288
[8]   THE CLINICAL ASPECTS OF BICLONAL GAMMOPATHIES REVIEW OF 57 CASES [J].
KYLE, RA ;
ROBINSON, RA ;
KATZMANN, JA .
AMERICAN JOURNAL OF MEDICINE, 1981, 71 (06) :999-1008
[9]   Monoclonal gammopathy of undetermined significance [J].
Kyle, Robert A. ;
Rajkumar, S. Vincent .
BRITISH JOURNAL OF HAEMATOLOGY, 2006, 134 (06) :573-589
[10]  
Lolin YI, 1996, AM J CLIN PATHOL, V106, P449