Table 1.
Plasmacytoma | Serum monoclonal protein | Bone marrow cytology | End organ damage | Radiological work-up | Risk of progression | ||
---|---|---|---|---|---|---|---|
Solitary plasmacytoma |
Solitary plasmacytoma | Present | Not required | Negative | No other lesions | 10% will progress to MM within 3 years | |
Solitary plasmacytoma with minimal bone marrow involvement | Present | Not required | Monoclonal PC infiltration < 10% | Absent | No other lesions | 60% with SBP or 20% with EMP will progress to MM within 3 years | |
Multiple myeloma |
Macrofocal myeloma | Present | Not required | Monoclonal PC infiltration < 10% | Possible | Multiple lesions | |
Multiple myeloma | Not required | Present | Monoclonal PC infiltration ≥ 10% | Present | Other lesions could be present |
Abbreviations: MM multiple myeloma, BM bone marrow, PC plasma cell, EMP extrameddulary plasmacytoma