The Current Role of the Heavy/Light Chain Assay in the Diagnosis, Prognosis and Monitoring of Multiple Myeloma: An Evidence-Based Approach

Despite tremendous progress being made in recent years, multiple myeloma (MM) remains a challenging disease. The laboratory plays a critical role in the overall management of patients. The diagnosis, prognosis, clinical monitoring and evaluation of the response are key moments in the clinical care p...

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Autores principales: Rafael Ríos-Tamayo, Noemí Puig, Macarena Algarín, José Luís García de Veas Silva, Nuno Barbosa, Cristina Encinas, José Ángel Hernández, Rafael Alonso, María Luisa Campos, Teresa Rodríguez, Alberto Leivas, María José Olivares, María José Sánchez, Bruno Paiva, Juan José Lahuerta, Joaquín Martínez-López
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:c4e255d0d4804062aa087d575fcc2f4c2021-11-25T17:20:50ZThe Current Role of the Heavy/Light Chain Assay in the Diagnosis, Prognosis and Monitoring of Multiple Myeloma: An Evidence-Based Approach10.3390/diagnostics111120202075-4418https://doaj.org/article/c4e255d0d4804062aa087d575fcc2f4c2021-10-01T00:00:00Zhttps://www.mdpi.com/2075-4418/11/11/2020https://doaj.org/toc/2075-4418Despite tremendous progress being made in recent years, multiple myeloma (MM) remains a challenging disease. The laboratory plays a critical role in the overall management of patients. The diagnosis, prognosis, clinical monitoring and evaluation of the response are key moments in the clinical care process. Conventional laboratory methods have been and continue to be the basis of laboratory testing in monoclonal gammopathies, along with the serum free light chain test. However, more accurate methods are needed to achieve new and more stringent clinical goals. The heavy/light chain assay is a relatively new test which can overcome some of the limitations of the conventional methods for the evaluation of intact immunoglobulin MM patients. Here, we report an update of the evidence accumulated in recent years on this method regarding its use in MM.Rafael Ríos-TamayoNoemí PuigMacarena AlgarínJosé Luís García de Veas SilvaNuno BarbosaCristina EncinasJosé Ángel HernándezRafael AlonsoMaría Luisa CamposTeresa RodríguezAlberto LeivasMaría José OlivaresMaría José SánchezBruno PaivaJuan José LahuertaJoaquín Martínez-LópezMDPI AGarticlemultiple myeloma (MM)heavy/light chain (HLC) assayHevylite<sup>®</sup>diagnosisprognosismonitoringMedicine (General)R5-920ENDiagnostics, Vol 11, Iss 2020, p 2020 (2021)
institution DOAJ
collection DOAJ
language EN
topic multiple myeloma (MM)
heavy/light chain (HLC) assay
Hevylite<sup>®</sup>
diagnosis
prognosis
monitoring
Medicine (General)
R5-920
spellingShingle multiple myeloma (MM)
heavy/light chain (HLC) assay
Hevylite<sup>®</sup>
diagnosis
prognosis
monitoring
Medicine (General)
R5-920
Rafael Ríos-Tamayo
Noemí Puig
Macarena Algarín
José Luís García de Veas Silva
Nuno Barbosa
Cristina Encinas
José Ángel Hernández
Rafael Alonso
María Luisa Campos
Teresa Rodríguez
Alberto Leivas
María José Olivares
María José Sánchez
Bruno Paiva
Juan José Lahuerta
Joaquín Martínez-López
The Current Role of the Heavy/Light Chain Assay in the Diagnosis, Prognosis and Monitoring of Multiple Myeloma: An Evidence-Based Approach
description Despite tremendous progress being made in recent years, multiple myeloma (MM) remains a challenging disease. The laboratory plays a critical role in the overall management of patients. The diagnosis, prognosis, clinical monitoring and evaluation of the response are key moments in the clinical care process. Conventional laboratory methods have been and continue to be the basis of laboratory testing in monoclonal gammopathies, along with the serum free light chain test. However, more accurate methods are needed to achieve new and more stringent clinical goals. The heavy/light chain assay is a relatively new test which can overcome some of the limitations of the conventional methods for the evaluation of intact immunoglobulin MM patients. Here, we report an update of the evidence accumulated in recent years on this method regarding its use in MM.
format article
author Rafael Ríos-Tamayo
Noemí Puig
Macarena Algarín
José Luís García de Veas Silva
Nuno Barbosa
Cristina Encinas
José Ángel Hernández
Rafael Alonso
María Luisa Campos
Teresa Rodríguez
Alberto Leivas
María José Olivares
María José Sánchez
Bruno Paiva
Juan José Lahuerta
Joaquín Martínez-López
author_facet Rafael Ríos-Tamayo
Noemí Puig
Macarena Algarín
José Luís García de Veas Silva
Nuno Barbosa
Cristina Encinas
José Ángel Hernández
Rafael Alonso
María Luisa Campos
Teresa Rodríguez
Alberto Leivas
María José Olivares
María José Sánchez
Bruno Paiva
Juan José Lahuerta
Joaquín Martínez-López
author_sort Rafael Ríos-Tamayo
title The Current Role of the Heavy/Light Chain Assay in the Diagnosis, Prognosis and Monitoring of Multiple Myeloma: An Evidence-Based Approach
title_short The Current Role of the Heavy/Light Chain Assay in the Diagnosis, Prognosis and Monitoring of Multiple Myeloma: An Evidence-Based Approach
title_full The Current Role of the Heavy/Light Chain Assay in the Diagnosis, Prognosis and Monitoring of Multiple Myeloma: An Evidence-Based Approach
title_fullStr The Current Role of the Heavy/Light Chain Assay in the Diagnosis, Prognosis and Monitoring of Multiple Myeloma: An Evidence-Based Approach
title_full_unstemmed The Current Role of the Heavy/Light Chain Assay in the Diagnosis, Prognosis and Monitoring of Multiple Myeloma: An Evidence-Based Approach
title_sort current role of the heavy/light chain assay in the diagnosis, prognosis and monitoring of multiple myeloma: an evidence-based approach
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/c4e255d0d4804062aa087d575fcc2f4c
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