Skip to main content
. Author manuscript; available in PMC: 2016 May 26.
Published in final edited form as: Clin J Oncol Nurs. 2010 Apr;14(2):149–152. doi: 10.1188/10.CJON.149-152

Table 1.

Comparison of Current Myeloma Staging Systems

STAGE DURIE-SALMON PLUSa INTERNATIONAL STAGING SYSTEMb
I Stage Ia: one focal lesion or plasmacytoma
Stage Ib: fewer than five focal lesions;
   mild diffuse disease
Serum beta-2 microglobulin lower than
   3.5 mg/L
Serum albumin 3.5 g/dl or higher
II Stage IIa and IIb: 5–20 focal lesions;
   moderate diffuse disease
Neither stage I nor stage III
III Stage IIIa and IIIb: more than 20 focal
   lesions; severe diffuse disease
Serum beta-2 microglobulin 5.5 mg/L or
   higher
a

From “The Role of Anatomic and Functional Staging in Myeloma: Description of Durie/Salmon PLUS Staging System,” by B.G. Durie, 2006, European Journal of Cancer, 42, p. 1540. Copyright 2006 by Elsevier Limited. Adapted with permission.

b

From “International Staging System for Multiple Myeloma,” by P.R. Greipp, J.S. Miguel, B.G. Durie, J.J. Crowley, B. Barlogie, J. Blade, … J. Westin, 2005, Journal of Clinical Oncology, 23, p. 3415. Copyright 2005 by the American Society of Clinical Oncology. Adapted with permission.