Multiple Myeloma (Part 1) - Update on Epidemiology, Diagnostic Criteria, Systemic Treatment and Prognosis

Abstract Multiple myeloma (MM) is a hematological malignancy characterized by unregulated and clonal proliferation of plasma cells in the bone marrow; these cells produce and secrete an anomalous monoclonal immunoglobulin, or a fragment of this, called M protein. The clinical manifestations of MM re...

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Main Authors: Alex Guedes, Ricardo Gehrke Becker, Luiz Eduardo Moreira Teixeira
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2023-07-01
Series:Revista Brasileira de Ortopedia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162023000300361&lng=en&tlng=en
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author Alex Guedes
Ricardo Gehrke Becker
Luiz Eduardo Moreira Teixeira
author_facet Alex Guedes
Ricardo Gehrke Becker
Luiz Eduardo Moreira Teixeira
author_sort Alex Guedes
collection DOAJ
description Abstract Multiple myeloma (MM) is a hematological malignancy characterized by unregulated and clonal proliferation of plasma cells in the bone marrow; these cells produce and secrete an anomalous monoclonal immunoglobulin, or a fragment of this, called M protein. The clinical manifestations of MM result from the proliferation of these plasmocytes, the excessive production of monoclonal immunoglobulin and the suppression of normal humoral immunity, leading to hypercalcemia, bone destruction, renal failure, suppression of hematopoiesis and humoral immunity, increasing the risk for the development of infections. The increase in life expectancy of the world population led to a concomitant increase in the prevalence of MM, a pathology that usually affects the elderly population. The aim of this review is to update the reader on epidemiology, diagnostic criteria, differential diagnosis with other monoclonal gam-mopathies, systemic treatment and prognosis of MM.
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spelling doaj.art-02a1f525d3174ecfbcd7ca9cd1ab1e322024-04-03T10:36:15ZengThieme Revinter Publicações Ltda.Revista Brasileira de Ortopedia1982-43782023-07-0158336136710.1055/s-0043-1770149Multiple Myeloma (Part 1) - Update on Epidemiology, Diagnostic Criteria, Systemic Treatment and PrognosisAlex Guedeshttps://orcid.org/0000-0001-7013-7107Ricardo Gehrke Beckerhttps://orcid.org/0000-0003-2629-9752Luiz Eduardo Moreira Teixeirahttps://orcid.org/0000-0003-1276-5679Abstract Multiple myeloma (MM) is a hematological malignancy characterized by unregulated and clonal proliferation of plasma cells in the bone marrow; these cells produce and secrete an anomalous monoclonal immunoglobulin, or a fragment of this, called M protein. The clinical manifestations of MM result from the proliferation of these plasmocytes, the excessive production of monoclonal immunoglobulin and the suppression of normal humoral immunity, leading to hypercalcemia, bone destruction, renal failure, suppression of hematopoiesis and humoral immunity, increasing the risk for the development of infections. The increase in life expectancy of the world population led to a concomitant increase in the prevalence of MM, a pathology that usually affects the elderly population. The aim of this review is to update the reader on epidemiology, diagnostic criteria, differential diagnosis with other monoclonal gam-mopathies, systemic treatment and prognosis of MM.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162023000300361&lng=en&tlng=enepidemiologymonoclonal gammopathy of undetermined significancemultiple myelomasmoldering multiple myelomaplasmacytomaprognosis
spellingShingle Alex Guedes
Ricardo Gehrke Becker
Luiz Eduardo Moreira Teixeira
Multiple Myeloma (Part 1) - Update on Epidemiology, Diagnostic Criteria, Systemic Treatment and Prognosis
Revista Brasileira de Ortopedia
epidemiology
monoclonal gammopathy of undetermined significance
multiple myeloma
smoldering multiple myeloma
plasmacytoma
prognosis
title Multiple Myeloma (Part 1) - Update on Epidemiology, Diagnostic Criteria, Systemic Treatment and Prognosis
title_full Multiple Myeloma (Part 1) - Update on Epidemiology, Diagnostic Criteria, Systemic Treatment and Prognosis
title_fullStr Multiple Myeloma (Part 1) - Update on Epidemiology, Diagnostic Criteria, Systemic Treatment and Prognosis
title_full_unstemmed Multiple Myeloma (Part 1) - Update on Epidemiology, Diagnostic Criteria, Systemic Treatment and Prognosis
title_short Multiple Myeloma (Part 1) - Update on Epidemiology, Diagnostic Criteria, Systemic Treatment and Prognosis
title_sort multiple myeloma part 1 update on epidemiology diagnostic criteria systemic treatment and prognosis
topic epidemiology
monoclonal gammopathy of undetermined significance
multiple myeloma
smoldering multiple myeloma
plasmacytoma
prognosis
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162023000300361&lng=en&tlng=en
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