作者检查52例初始诊断意义不明的单克隆丙种球蛋白病(MGUS)或亚临床型多发性骨髓瘤(SMM),因怀疑多发性骨髓瘤(MM)而作骨髓检查的患者,评价临床和骨髓形态学及细胞动力学检查结果,并与23例未经治疗的MM患者比较,以判断哪项指标有助于鉴别MM和MGUS或SMM。 MGUS患者43(男20、女23)例,中位年龄66岁,其中5例以后发生MM,有2例MM发生于6月内;2例死于无关的原因。SMM患者9例,其中2例分别于2和 The authors examined 52 patients with unidentified monoclonal gammopathies (MGUS) or subclinical multiple myeloma (SMM) of unknown initial diagnosis, patients undergoing bone marrow examination for suspected multiple myeloma (MM), and evaluated clinical and bone marrow Morphology and cytokine test results, and compared with 23 cases of untreated MM patients to determine which indicators help identify MM and MGUS or SMM. Among 43 patients with MGUS (male 20, female 23), the median age was 66 years. Among them, MM occurred in 5 cases and MM occurred in 6 cases in 2 cases. There were 2 unrelated causes. There were 9 SMM patients, 2 of which were at 2 and 2, respectively