Table 2.
Malignant transformation in patients with IgM MGUS
| Author | No. with IgM MGUS | Median follow-up | No. progressing to WM (%) | Median time to progression | # other LPD |
|---|---|---|---|---|---|
| All MGUS | |||||
| Cesana (22) | 130 | 67 mo | 12 (9.2) | 89 mo | —* |
| Blade (31) | 14 | 56 mo | 1 (7.1) | n.r. | — |
| Anagnostopoulos (37) | 4 | 71 mo | 0 (0.0) | n.a. | — |
| Colls (52) | 3 | 4 yrs | 2 (66.7) | 3 yrs | — |
| van de Donk (53) | 9 | 6.75 yrs | 1 (11.1) | 9.46 yrs | — |
| Veneri (54) | 71 | 67 mo | 8 (11.3) | n.r. | — |
| IgM MGUS | |||||
| Kyle (3) | 213 | 6.3 yrs | 6 (2.8) | > 5 yrs** | 17 NHL, 3 CLL, 3 AL, 1 MM*** |
| Montoto (55) | 52 | 5 yrs | 5 (9.6) | 3.6 yrs | 1 NHL |
| Baldini (56) | 217 | 56.1 mo | 13 (6.0) | n.r. | 2 NHL |
| Morra (57) | 452**** | 49 mo | 36 (8.0) | 53 mo | 2 NHL, 1 CLL, 1 AL, 1 MM |
Abbreviations: MGUS, monoclonal gammopathy of undetermined significance; No., number; mo, months; yrs, years; n.r., not reported; n.a., not applicable
Cannot be determined from the data
For 5 of 6 patients
Patient developed a biclonal IgM/IgA gammopathy and subsequently developed IgA myeloma.
Included patients with asymptomatic IgM monoclonal gammopathy