Monoclonal gammopathy of undetermined significance

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Complications

By Mayo Clinic staff

About 20 percent of people with monoclonal gammopathy of undetermined significance develop a more serious condition, such as multiple myeloma or other cancers or blood disorders.

Doctors can't predict who will go on to develop a more serious condition, but they can determine who has the greatest risk. Your doctor takes into account several factors when determining your risk, including:

  • The amount of M protein in your blood
  • The type of M protein
  • The number of plasma cells in your bone marrow
  • The presence of protein in your urine

Your risk of developing a more serious condition increases the longer you've had monoclonal gammopathy of undetermined significance. Most people who develop problems do so about 10 years after their initial diagnosis.

References
  1. Monoclonal gammopathy. MayoClinic.org. http://www.mayoclinic.org/monoclonal-gammopathy. Accessed Sept. 5, 2008.
  2. Monoclonal gammopathy: Treatment. MayoClinic.org. http://www.mayoclinic.org/monoclonal-gammopathy/treatment.html. Accessed Sept. 5, 2008.
  3. Monoclonal gammopathies of undetermined significance (MGUS). The Merck Manuals Online Medical Library. http://www.merck.com/mmhe/sec14/ch175/ch175b.html. Accessed Sept. 5, 2008.
  4. Kyle RA, et al. Monoclonal gammopathy of undetermined significance. British Journal of Haemotology. 2006;134(6):573-589.
  5. Gertz M. What is monoclonal gammopathy of undetermined significance? International Myeloma Foundation. http://myeloma.org/main.jsp?type=article&id=879. Accessed Sept. 5, 2008.
  6. Rajkumar SV, et al. Recognition of monoclonal proteins. http://www.uptodate.com/home/index.html. Accessed Sept. 5, 2008.
  7. New Mayo study shows higher prevalence of MGUS, a pre-cancerous blood disorder, than previously suspected. MayoClinic.org. http://www.mayoclinic.org/news2006-rst/3302.html. Accessed Sept. 5, 2008.
  8. Landgren O, et al. Risk of monoclonal gammopathy of undetermined significance (MGUS) and subsequent multiple myeloma among African American and white veterans in the United States. Blood. 2006;107(3):904-906.

DS00870

Dec. 6, 2008

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