Screening for and diagnosis of monoclonal gammopathy
Monoclonal gammopathy is a spectrum of disorders characterised by clonal proliferation of plasma cells or lymphocytes, which produce abnormal immunoglobulin or its components (monoclonal proteins). Monoclonal gammopathies are often categorised as low-tumour-burden diseases (eg, amyloid light chain (...
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| Veröffentlicht in: | Journal of clinical pathology 2023-11, Vol.76 (11), p.727-733 |
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| container_title | Journal of clinical pathology |
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| creator | Chong, Yuh Ping Lim, Say Min Loh, Tze Ping Mollee, Peter Wijeratne, Nilika Choy, Kay Weng |
| description | Monoclonal gammopathy is a spectrum of disorders characterised by clonal proliferation of plasma cells or lymphocytes, which produce abnormal immunoglobulin or its components (monoclonal proteins). Monoclonal gammopathies are often categorised as low-tumour-burden diseases (eg, amyloid light chain (AL) amyloidosis), premalignant disorders (such as monoclonal gammopathy of undetermined significance and smouldering multiple myeloma), and malignancies (eg, multiple myeloma and Waldenström’s macroglobulinaemia). Such diversity of concentration and structure makes monoclonal protein a challenging clonal marker. This article provides an overview on initial laboratory testing of monoclonal gammopathy to guide clinicians and laboratory professionals in the selection and interpretation of appropriate investigations. |
| doi_str_mv | 10.1136/jcp-2023-208774 |
| format | Article |
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Monoclonal gammopathies are often categorised as low-tumour-burden diseases (eg, amyloid light chain (AL) amyloidosis), premalignant disorders (such as monoclonal gammopathy of undetermined significance and smouldering multiple myeloma), and malignancies (eg, multiple myeloma and Waldenström’s macroglobulinaemia). Such diversity of concentration and structure makes monoclonal protein a challenging clonal marker. 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| subjects | Amyloidosis Anemia Best practice Biomarkers, Tumor Bone marrow Clinical significance Creatinine Disease Hypercalcemia Immunoglobulins Laboratories Light Magnetic resonance imaging Multiple Myeloma Patients Plasma Primary care Proteins Tomography Urine |
| title | Screening for and diagnosis of monoclonal gammopathy |
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