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Histologic Classification and Staging of Multiple Myeloma: A Retrospective and Prospective Study of 674 Cases
Abstract
Bone marrow biopsies of 674 patients with multiple myeloma (MM) were processed for diagnostic evaluation. Histologic variables were correlated with the clinical features to determine factors of value in predicting prognosis. Four of these were used to classify MM into six histologic types: Marschalko type; small cell type; cleaved type; polymorphous type; asynchronous type; and blastic type. These six types were subsequently combined into three prognostic grades: low, intermediate, and high, analogous to the malignant lymphomas. The quantity of plasma cell burden in the biopsy proved to be a useful criterion for histologic staging of MM, supplementing any clinical staging system in use. Both these parameters, grade and stage, provide information required for decisions on treatment modalities, while the effects of therapy can be monitored by sequential biopsies.
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Cited by
Antitumor Activity of Thalidomide in Refractory Multiple Myeloma
Singhal, S., Mehta, J., Desikan, R., Ayers, D., Roberson, P., Eddlemon, P., Munshi, N., Anaissie, E., Wilson, C., Dhodapkar, M., et al. (1999) · New England Journal of Medicine · doi:10.1056/nejm199911183412102 · Cited by 2,575
Extramedullary plasmacytoma: Tumor occurrence and therapeutic concepts
Alexiou, C., Kau, R. J., Dietzfelbinger, H., Kremer, M., Spie�, J. C., Schratzenstaller, B., & Arnold, W. (1999) · Cancer · doi:10.1002/(sici)1097-0142(19990601)85:11<2305::aid-cncr2>3.0.co;2-3 · Cited by 592
Zojer, N., Königsberg, R., Ackermann, J., Fritz, E., Dallinger, S., Krömer, E., Kaufmann, H., Riedl, L., Gisslinger, H., Schreiber, S., et al. (2000) · Blood · doi:10.1182/blood.v95.6.1925 · Cited by 321
Zignego, A. L., Ferri, C., Pileri, S. A., Caini, P., & Bianchi, F. B. (2007) · Digestive and Liver Disease · doi:10.1016/j.dld.2006.06.008 · Cited by 262
Bataille, R., Chappard, D., Marcelli, C., Dessauw, P., Baldet, P., Sany, J., & Alexandre, C. (1991) · Journal of Clinical Investigation · doi:10.1172/jci115305 · Cited by 253
Metadata
- Authors
- Bartl, R., Frisch, B., Fateh-Moghadam, A., Kettner, G., Jaeger, K., & Sommerfeld, W.
- Venue
- American Journal of Clinical Pathology
- Publisher
- Oxford University Press (OUP)
- Published
- 1987-03-01
- Volume
- 87
- Issue
- 3
- Pages
- 342-355
- ISSN
- 0002-9173 (ISSN-L)
- 1943-7722
- OpenAlex
- W2318206769
- Cited by
- 288
- References
- 0
- FWCI
- 4.86
- Type
- journal article
- Language
- en
- Open access
- closed
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- Bartl, R., Frisch, B., Fateh-Moghadam, A., Kettner, G., Jaeger, K., & Sommerfeld, W. (1987). Histologic Classification and Staging of Multiple Myeloma: A Retrospective and Prospective Study of 674 Cases. American Journal of Clinical Pathology. https://doi.org/10.1093/ajcp/87.3.342
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