Primary plasma cell leukemia: consensus definition by the International Myeloma Working Group according to peripheral blood plasma cell percentage

Abstract Primary plasma cell leukemia (PCL) has a consistently ominous prognosis, even after progress in the last decades. PCL deserves a prompt identification to start the most effective treatment for this ultra-high-risk disease. The aim of this position paper is to revisit the diagnosis of PCL ac...

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Autores principales: Carlos Fernández de Larrea, Robert Kyle, Laura Rosiñol, Bruno Paiva, Monika Engelhardt, Saad Usmani, Jo Caers, Wilson Gonsalves, Fredrik Schjesvold, Giampaolo Merlini, Suzanne Lentzch, Enrique Ocio, Laurent Garderet, Philippe Moreau, Pieter Sonneveld, Ashraf Badros, Gösta Gahrton, Hartmut Goldschmidt, Sascha Tuchman, Hermann Einsele, Brian Durie, Baldeep Wirk, Pellegrino Musto, Patrick Hayden, Martin Kaiser, Jesús San Miguel, Joan Bladé, S. Vincent Rajkumar, Maria Victoria Mateos
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Publicado: Nature Publishing Group 2021
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spelling oai:doaj.org-article:316690c0ce52472eb67f8eef3f9e74a52021-12-05T12:25:49ZPrimary plasma cell leukemia: consensus definition by the International Myeloma Working Group according to peripheral blood plasma cell percentage10.1038/s41408-021-00587-02044-5385https://doaj.org/article/316690c0ce52472eb67f8eef3f9e74a52021-12-01T00:00:00Zhttps://doi.org/10.1038/s41408-021-00587-0https://doaj.org/toc/2044-5385Abstract Primary plasma cell leukemia (PCL) has a consistently ominous prognosis, even after progress in the last decades. PCL deserves a prompt identification to start the most effective treatment for this ultra-high-risk disease. The aim of this position paper is to revisit the diagnosis of PCL according to the presence of circulating plasma cells in patients otherwise meeting diagnostic criteria of multiple myeloma. We could identify two retrospective series where the question about what number of circulating plasma cells in peripheral blood should be used for defining PCL. The presence of ≥5% circulating plasma cells in patients with MM had a similar adverse prognostic impact as the previously defined PCL. Therefore, PCL should be defined by the presence of 5% or more circulating plasma cells in peripheral blood smears in patients otherwise diagnosed with symptomatic multiple myeloma.Carlos Fernández de LarreaRobert KyleLaura RosiñolBruno PaivaMonika EngelhardtSaad UsmaniJo CaersWilson GonsalvesFredrik SchjesvoldGiampaolo MerliniSuzanne LentzchEnrique OcioLaurent GarderetPhilippe MoreauPieter SonneveldAshraf BadrosGösta GahrtonHartmut GoldschmidtSascha TuchmanHermann EinseleBrian DurieBaldeep WirkPellegrino MustoPatrick HaydenMartin KaiserJesús San MiguelJoan BladéS. Vincent RajkumarMaria Victoria MateosNature Publishing GrouparticleNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENBlood Cancer Journal, Vol 11, Iss 12, Pp 1-5 (2021)
institution DOAJ
collection DOAJ
language EN
topic Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Carlos Fernández de Larrea
Robert Kyle
Laura Rosiñol
Bruno Paiva
Monika Engelhardt
Saad Usmani
Jo Caers
Wilson Gonsalves
Fredrik Schjesvold
Giampaolo Merlini
Suzanne Lentzch
Enrique Ocio
Laurent Garderet
Philippe Moreau
Pieter Sonneveld
Ashraf Badros
Gösta Gahrton
Hartmut Goldschmidt
Sascha Tuchman
Hermann Einsele
Brian Durie
Baldeep Wirk
Pellegrino Musto
Patrick Hayden
Martin Kaiser
Jesús San Miguel
Joan Bladé
S. Vincent Rajkumar
Maria Victoria Mateos
Primary plasma cell leukemia: consensus definition by the International Myeloma Working Group according to peripheral blood plasma cell percentage
description Abstract Primary plasma cell leukemia (PCL) has a consistently ominous prognosis, even after progress in the last decades. PCL deserves a prompt identification to start the most effective treatment for this ultra-high-risk disease. The aim of this position paper is to revisit the diagnosis of PCL according to the presence of circulating plasma cells in patients otherwise meeting diagnostic criteria of multiple myeloma. We could identify two retrospective series where the question about what number of circulating plasma cells in peripheral blood should be used for defining PCL. The presence of ≥5% circulating plasma cells in patients with MM had a similar adverse prognostic impact as the previously defined PCL. Therefore, PCL should be defined by the presence of 5% or more circulating plasma cells in peripheral blood smears in patients otherwise diagnosed with symptomatic multiple myeloma.
format article
author Carlos Fernández de Larrea
Robert Kyle
Laura Rosiñol
Bruno Paiva
Monika Engelhardt
Saad Usmani
Jo Caers
Wilson Gonsalves
Fredrik Schjesvold
Giampaolo Merlini
Suzanne Lentzch
Enrique Ocio
Laurent Garderet
Philippe Moreau
Pieter Sonneveld
Ashraf Badros
Gösta Gahrton
Hartmut Goldschmidt
Sascha Tuchman
Hermann Einsele
Brian Durie
Baldeep Wirk
Pellegrino Musto
Patrick Hayden
Martin Kaiser
Jesús San Miguel
Joan Bladé
S. Vincent Rajkumar
Maria Victoria Mateos
author_facet Carlos Fernández de Larrea
Robert Kyle
Laura Rosiñol
Bruno Paiva
Monika Engelhardt
Saad Usmani
Jo Caers
Wilson Gonsalves
Fredrik Schjesvold
Giampaolo Merlini
Suzanne Lentzch
Enrique Ocio
Laurent Garderet
Philippe Moreau
Pieter Sonneveld
Ashraf Badros
Gösta Gahrton
Hartmut Goldschmidt
Sascha Tuchman
Hermann Einsele
Brian Durie
Baldeep Wirk
Pellegrino Musto
Patrick Hayden
Martin Kaiser
Jesús San Miguel
Joan Bladé
S. Vincent Rajkumar
Maria Victoria Mateos
author_sort Carlos Fernández de Larrea
title Primary plasma cell leukemia: consensus definition by the International Myeloma Working Group according to peripheral blood plasma cell percentage
title_short Primary plasma cell leukemia: consensus definition by the International Myeloma Working Group according to peripheral blood plasma cell percentage
title_full Primary plasma cell leukemia: consensus definition by the International Myeloma Working Group according to peripheral blood plasma cell percentage
title_fullStr Primary plasma cell leukemia: consensus definition by the International Myeloma Working Group according to peripheral blood plasma cell percentage
title_full_unstemmed Primary plasma cell leukemia: consensus definition by the International Myeloma Working Group according to peripheral blood plasma cell percentage
title_sort primary plasma cell leukemia: consensus definition by the international myeloma working group according to peripheral blood plasma cell percentage
publisher Nature Publishing Group
publishDate 2021
url https://doaj.org/article/316690c0ce52472eb67f8eef3f9e74a5
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