State-of-the-Art Imaging and Staging of Plasma Cell Dyscrasias

Radiol Clin North Am. 2016 May;54(3):581-96. doi: 10.1016/j.rcl.2015.12.008. Epub 2016 Mar 21.

Abstract

Monoclonal gammopathy of unknown significance (MGUS) is a clinically asymptomatic premalignant clonal plasma cell or lymphoplasmacytic proliferative disorder. Smoldering multiple myeloma, also called asymptomatic multiple myeloma, is an intermediate stage between MGUS and symptomatic multiple myeloma. As the name implies, extraosseous or extramedullary myeloma refers to the presence of myeloma deposits outside the skeletal system. Waldenström macroglobulinemia is a distinct subtype of plasma cell dyscrasia characterized by lymphoplasmacytic lymphoma in the bone marrow with an associated IgM monoclonal gammopathy. Amyloidosis is a condition characterized by extracellular deposition of fibrils composed of a variety of normal serum proteins.

Keywords: Imaging; Monoclonal gammopathy of unknown clinical significance; Multiple myeloma; Plasma cell dyscrasias; Smoldering myeloma; Solitary plasmacytoma.

Publication types

  • Review

MeSH terms

  • Diagnosis, Differential
  • Evidence-Based Medicine
  • Humans
  • Magnetic Resonance Imaging / methods*
  • Neoplasm Staging
  • Paraproteinemias / diagnostic imaging*
  • Paraproteinemias / pathology*
  • Positron Emission Tomography Computed Tomography / methods*