U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

IgM Monoclonal Gammopathy of Undetermined Significance

MedGen UID:
647618
Concept ID:
C0563312
Neoplastic Process
Synonyms: IgM monoclonal gammopathy of uncertain significance; IgM monoclonal gammopathy of undetermined significance; Immunoglobulin M monoclonal gammopathy of uncertain significance; Immunoglobulin M monoclonal gammopathy of undetermined significance
SNOMED CT: Immunoglobulin M monoclonal gammopathy of uncertain significance (285426000); IgM monoclonal gammopathy of undetermined significance (788560004); Immunoglobulin M monoclonal gammopathy of undetermined significance (788560004); IgM monoclonal gammopathy of uncertain significance (285426000)

Definition

Monoclonal gammopathy of undetermined significance defined by a serum IgM paraprotein concentration less than 30g/L; bone marrow lymphoplasmacytic infiltration of less than 10%; and no evidence of anemia, constitutional symptoms, hyperviscocity, lymphadenopathy, hepatosplenomegaly, or other end-organ damage that can be attributed to the underlying lymphoproliferative disorder. It is a precursor condition that may progress to lymphoplasmacytic lymphoma/ Waldenstrom macroglobulinemia, other B-cell neoplasms, or primary amyloidosis. Progression to plasma cell myeloma occurs rarely, if at all. (WHO 2017) [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVIgM Monoclonal Gammopathy of Undetermined Significance

Professional guidelines

PubMed

Tomkins O, Leblond V, Lunn MP, Viala K, Weil DR, D'Sa S
Hematol Oncol Clin North Am 2023 Aug;37(4):761-776. doi: 10.1016/j.hoc.2023.04.007. PMID: 37385714
Khwaja J, D'Sa S, Minnema MC, Kersten MJ, Wechalekar A, Vos JM
Haematologica 2022 Sep 1;107(9):2037-2050. doi: 10.3324/haematol.2022.280953. PMID: 35770530Free PMC Article
Gertz MA
Am J Hematol 2019 Feb;94(2):266-276. Epub 2018 Oct 17 doi: 10.1002/ajh.25292. PMID: 30328142

Recent clinical studies

Etiology

Tomkins O, Leblond V, Lunn MP, Viala K, Weil DR, D'Sa S
Hematol Oncol Clin North Am 2023 Aug;37(4):761-776. doi: 10.1016/j.hoc.2023.04.007. PMID: 37385714
Kaur J, Valisekka SS, Hameed M, Bandi PS, Varma S, Onwughalu CJ, Ibrahim H, Mongia H
Clin Lymphoma Myeloma Leuk 2023 May;23(5):e195-e212. Epub 2023 Feb 23 doi: 10.1016/j.clml.2023.02.004. PMID: 36966041
Tahri S, Mouhieddine TH, Redd R, Lampe L, Nilsson KI, El-Khoury H, Su NK, Nassar AH, Adib E, Bindra G, Abou Alaiwi S, Trippa L, Steensma DP, Castillo JJ, Treon SP, Ghobrial IM, Sperling AS
Blood Adv 2022 Apr 12;6(7):2230-2235. doi: 10.1182/bloodadvances.2021004926. PMID: 34847227Free PMC Article
García-Sanz R, Dogliotti I, Zaccaria GM, Ocio EM, Rubio A, Murillo I, Escalante F, Aguilera C, García-Mateo A, García de Coca A, Hernández R, Dávila J, Puig N, García-Álvarez M, Chillón MDC, Alcoceba M, Medina A, González de la Calle V, Sarasquete ME, González M, Gutiérrez NC, Jiménez C
Br J Haematol 2021 Mar;192(5):843-852. Epub 2020 Aug 11 doi: 10.1111/bjh.17028. PMID: 32780894
Mailankody S, Landgren O
Best Pract Res Clin Haematol 2016 Jun;29(2):187-193. Epub 2016 Sep 4 doi: 10.1016/j.beha.2016.08.015. PMID: 27825465

Diagnosis

Tomkins O, Leblond V, Lunn MP, Viala K, Weil DR, D'Sa S
Hematol Oncol Clin North Am 2023 Aug;37(4):761-776. doi: 10.1016/j.hoc.2023.04.007. PMID: 37385714
Bruehl FK, Mannion P, Barbato E, Nakashima MO, Cook JR
Haematologica 2023 Oct 1;108(10):2764-2773. doi: 10.3324/haematol.2022.282389. PMID: 37021542Free PMC Article
Kaur J, Valisekka SS, Hameed M, Bandi PS, Varma S, Onwughalu CJ, Ibrahim H, Mongia H
Clin Lymphoma Myeloma Leuk 2023 May;23(5):e195-e212. Epub 2023 Feb 23 doi: 10.1016/j.clml.2023.02.004. PMID: 36966041
Khwaja J, D'Sa S, Minnema MC, Kersten MJ, Wechalekar A, Vos JM
Haematologica 2022 Sep 1;107(9):2037-2050. doi: 10.3324/haematol.2022.280953. PMID: 35770530Free PMC Article
Varettoni M, Arcaini L, Zibellini S, Boveri E, Rattotti S, Riboni R, Corso A, Orlandi E, Bonfichi M, Gotti M, Pascutto C, Mangiacavalli S, Croci G, Fiaccadori V, Morello L, Guerrera ML, Paulli M, Cazzola M
Blood 2013 Mar 28;121(13):2522-8. Epub 2013 Jan 25 doi: 10.1182/blood-2012-09-457101. PMID: 23355535

Therapy

Castellani F, Visentin A, Schirinzi E, Salvalaggio A, Cacciavillani M, Candiotto C, Baratè C, Cellini A, Bertorelle R, Siciliano G, Trentin L, Briani C
Neurol Neuroimmunol Neuroinflamm 2023 Jul;10(4) Epub 2023 May 3 doi: 10.1212/NXI.0000000000200122. PMID: 37137530Free PMC Article
Kuitwaard K, Hahn AF, Vermeulen M, Venance SL, van Doorn PA
J Neurol Neurosurg Psychiatry 2015 Dec;86(12):1331-6. Epub 2014 Dec 16 doi: 10.1136/jnnp-2014-309042. PMID: 25515502
Thomas A, Mailankody S, Korde N, Kristinsson SY, Turesson I, Landgren O
Blood 2012 Mar 22;119(12):2731-7. Epub 2012 Feb 6 doi: 10.1182/blood-2011-12-381426. PMID: 22310913Free PMC Article
Ramchandren S, Lewis RA
Curr Neurol Neurosci Rep 2012 Feb;12(1):102-10. doi: 10.1007/s11910-011-0237-4. PMID: 22090258
Matà S, Borsini W, Ambrosini S, Toscani L, Barilaro A, Piacentini S, Sorbi S, Lolli F
Eur J Neurol 2011 Aug;18(8):1067-73. Epub 2011 Jan 25 doi: 10.1111/j.1468-1331.2010.03345.x. PMID: 21261794

Prognosis

Khwaja J, Vos JMI, Pluimers TE, Japzon N, Patel A, Salter S, Kwakernaak AJ, Gupta R, Rismani A, Kyriakou C, Wechalekar AD, D'Sa S
Br J Haematol 2024 Jan;204(1):177-185. Epub 2023 Sep 19 doi: 10.1111/bjh.19112. PMID: 37726004
Alcoceba M, García-Álvarez M, Medina A, Maldonado R, González-Calle V, Chillón MC, Sarasquete ME, González M, García-Sanz R, Jiménez C
Int J Mol Sci 2022 May 16;23(10) doi: 10.3390/ijms23105570. PMID: 35628381Free PMC Article
García-Sanz R, Dogliotti I, Zaccaria GM, Ocio EM, Rubio A, Murillo I, Escalante F, Aguilera C, García-Mateo A, García de Coca A, Hernández R, Dávila J, Puig N, García-Álvarez M, Chillón MDC, Alcoceba M, Medina A, González de la Calle V, Sarasquete ME, González M, Gutiérrez NC, Jiménez C
Br J Haematol 2021 Mar;192(5):843-852. Epub 2020 Aug 11 doi: 10.1111/bjh.17028. PMID: 32780894
Tanaka H, Sakuma Y, Ikeda H, Shimizu R, Sugita Y, Iwai R
J Clin Exp Hematop 2017;57(2):47-53. doi: 10.3960/jslrt.17025. PMID: 29021514Free PMC Article
Kuitwaard K, Hahn AF, Vermeulen M, Venance SL, van Doorn PA
J Neurol Neurosurg Psychiatry 2015 Dec;86(12):1331-6. Epub 2014 Dec 16 doi: 10.1136/jnnp-2014-309042. PMID: 25515502

Clinical prediction guides

Khwaja J, Vos JMI, Pluimers TE, Japzon N, Patel A, Salter S, Kwakernaak AJ, Gupta R, Rismani A, Kyriakou C, Wechalekar AD, D'Sa S
Br J Haematol 2024 Jan;204(1):177-185. Epub 2023 Sep 19 doi: 10.1111/bjh.19112. PMID: 37726004
Bruehl FK, Mannion P, Barbato E, Nakashima MO, Cook JR
Haematologica 2023 Oct 1;108(10):2764-2773. doi: 10.3324/haematol.2022.282389. PMID: 37021542Free PMC Article
García-Sanz R, Dogliotti I, Zaccaria GM, Ocio EM, Rubio A, Murillo I, Escalante F, Aguilera C, García-Mateo A, García de Coca A, Hernández R, Dávila J, Puig N, García-Álvarez M, Chillón MDC, Alcoceba M, Medina A, González de la Calle V, Sarasquete ME, González M, Gutiérrez NC, Jiménez C
Br J Haematol 2021 Mar;192(5):843-852. Epub 2020 Aug 11 doi: 10.1111/bjh.17028. PMID: 32780894
McMaster ML
Hematol Oncol Clin North Am 2018 Oct;32(5):787-809. Epub 2018 Jul 26 doi: 10.1016/j.hoc.2018.05.006. PMID: 30190018
Kuitwaard K, Hahn AF, Vermeulen M, Venance SL, van Doorn PA
J Neurol Neurosurg Psychiatry 2015 Dec;86(12):1331-6. Epub 2014 Dec 16 doi: 10.1136/jnnp-2014-309042. PMID: 25515502

Supplemental Content

Table of contents

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Recent activity

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...