Table 1 Characteristics of clonal B cell and plasma cell proliferative disorders
Disease | Clone | Bone marrow involvement | Immunoglobulin | M-spike | Organ damage and/or involvement |
---|---|---|---|---|---|
MGUS | Any | <10% | Any | <30 g/l | None |
Smouldering MMa | Plasma cell | 10–60% | Any | ≥30 g/l | None |
MMa | Plasma cell | ≥10% | Any | ≥30 g/l | SLiM CRAB: 60% bone marrow plasma cells, involved:uninvolved free light-chain ratio >100, >1 bone lesion on MRI, hypercalcaemia, renal impairment, anaemia and lytic bone lesions |
Smouldering WMa | Lymphoplasmacytic lymphoma cloneb | ≥10% | IgM | ≥30 g/l | Absent |
WMa | Lymphoplasmacytic lymphoma cloneb | ≥10% | IgM | ≥30 g/l | Anaemia, hyperviscosity, constitutional symptoms, bulky lymphadenopathy, hepatosplenomegaly and neuropathy |
MBL | B-cell clonec | Peripheral B-cell count <5 × 109/l | Any | Any | Absence of lymph node involvement |
CLL | B-cell clonec | Peripheral B-cell count >5 × 109/l | Any | Any | Adenopathy, anaemia and thrombocytopenia |
Other B cell lymphoproliferative disorders | Pan B-cell markers (CD19+CD20+CD79+CD22+PAX5+) | Presence or absence | Any | Any | Adenopathy and splenomegaly |