Prognostic value of circulating clonal plasma cells in newly diagnosed multiple myeloma.

Abstract:

OBJECTIVES:Multiple myeloma (MM) involves a clinically and biologically heterogeneous malignancy of plasma cells. It is difficult to predict the prognosis of MM. The presence of circulating clonal plasma cells (CPC) has been associated with a worse prognosis in patients with MM. METHODS:This study retrospectively analysed CPC in 108 newly diagnosed MM patients by 8-colour flow cytometry to investigate their value for predicting the outcome and combined the level of CPC with the revised International Staging System (R-ISS) to stratify the MM patients according to risk. RESULTS:CPC were detected in 58/108 patients (53.7%). The optimum cut-off for the prediction of overall survival was determined to be 0.105%. Patients with higher R-ISS stages seemed to harbour more CPC. A level of CPC≥0.105% was an independent risk factor for adverse outcomes (P<0.001). The combination of the R-ISS staging system and level of CPC was used to stratify MM patients according to risk, and the combination of R-ISS stage III and a level of CPC≥0.105% defined the ultra-high-risk group. CONCLUSION:This study suggests that a high proportion of CPC is associated with aggressive disease and that the use of the current R-ISS system in conjunction with assessment of the level of CPC may facilitate the stratification of newly diagnosed MM patients into clinically relevant prognostic subgroups.

journal_name

Hematology

authors

Han W,Jin Y,Xu M,Zhao SS,Shi Q,Qu X,Zhang R,Li J,Wu Y,Chen L

doi

10.1080/16078454.2021.1948208

keywords:

["Circulating plasma cells","R-ISS staging system","flow cytometry","high-risk patients","minimal residual disease","multiple myeloma","prognosis","risk stratification"]

subject

Has Abstract

pub_date

2021-12-01 00:00:00

pages

510-517

issue

1

eissn

1024-5332

issn

1607-8454

journal_volume

26

pub_type

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