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Cutaneous involvement in multiple myeloma: a multi-institutional retrospective study of 53 patients
A. Jurczyszyn, M. Olszewska-Szopa, V. Hungria, E. Crusoe, T. Pika, M. Delforge, X. Leleu, L. Rasche, AK. Nooka, A. Druzd-Sitek, J. Walewski, J. Davila, J. Caers, V. Maisnar, M. Gertz, M. Gentile, D. Fantl, G. Mele, DH. Vesole, AJ. Yee, C....
Jazyk angličtina Země Velká Británie
Typ dokumentu časopisecké články
- MeSH
- biologické markery MeSH
- dospělí MeSH
- invazivní růst nádoru MeSH
- Kaplanův-Meierův odhad MeSH
- kombinovaná terapie MeSH
- lidé středního věku MeSH
- lidé MeSH
- mnohočetný myelom diagnóza mortalita terapie MeSH
- nádory kůže diagnóza mortalita terapie MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- staging nádorů MeSH
- translokace genetická MeSH
- výsledek terapie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
Skin infiltration in multiple myeloma (skin MM) is a rare clinical problem. Only a few cases of skin involvement have been reported, primarily in single case reports. We analyzed and present the clinical outcomes, immunohistochemistry and cytogenetic features, and relevant laboratory data on 53 biopsy-proven skin MM cases. The median time from MM diagnosis to skin involvement was 2 years. There appears to be an overrepresentation of immunoglobulin class A (IgA) and light chain disease in skin MM. We found no correlation between CD56 negative MM and skin infiltration. We found that skin MM patients presented in all MM stages (i.e. ISS stages I to III), and there was no preferential cytogenetic abnormality. Patients with skin MM carry a very poor prognosis with a median overall survival (OS) of 8.5 months as time from skin involvement. Moreover, patients with IgA disease and plasmablastic morphology appear to have a worse OS.
b Wroclaw Medical University Wroclaw Poland
c Santa Casa Medical School Sao Paulo Brazil
e Department of Hematology University Hospitals Leuven Belgium
f Hopital La Miletrie CHU Poitiers France
g Department of Internal Medicine 2 University Hospital Wuerzburg Wuerzburg Germany
h Winship Cancer Institute Emory University Atlanta GA USA
Hematology Unit Department of Onco Hematology A O of Cosenza Cosenza Italy
i Maria Sklodowska Curie Memorial Cancer Center and Institute of Oncology Warsaw Poland
j Hospital Universitario De Salamanca Salamanca Spain
Jagiellonian University Medical College Cracow Poland
k Centre Hospitalier Universitaire De Liege Liege Belgium
l Department of Medicine Haematology Hradec Kralove Czech Republic
m Division of Hematology Mayo Clinic Rochester MN USA
o Hospital Italiano De Buenos Aires Buenos Aires Argentina
p Haematology Ospedale A Perrino Brindisi Italy
q John Theurer Cancer Center at Hackensack University Medical Center Hackensack NJ USA
r Massachusetts General Hospital Cancer Center Harvard Medical School Boston MA USA
s Royal Victoria Hospital McGill University Montreal Canada
t Columbia University Medical Center New York NY USA
u VU University Medical Center Amsterdam the Netherlands
University Hospital Olomouc Olomouc Czech Republic
v Azienda Ospedaliera Universitaria Senese Siena Italy
w Dana Farber Cancer Institute Harvard Medical School Boston MA USA
Citace poskytuje Crossref.org
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- $a Skin infiltration in multiple myeloma (skin MM) is a rare clinical problem. Only a few cases of skin involvement have been reported, primarily in single case reports. We analyzed and present the clinical outcomes, immunohistochemistry and cytogenetic features, and relevant laboratory data on 53 biopsy-proven skin MM cases. The median time from MM diagnosis to skin involvement was 2 years. There appears to be an overrepresentation of immunoglobulin class A (IgA) and light chain disease in skin MM. We found no correlation between CD56 negative MM and skin infiltration. We found that skin MM patients presented in all MM stages (i.e. ISS stages I to III), and there was no preferential cytogenetic abnormality. Patients with skin MM carry a very poor prognosis with a median overall survival (OS) of 8.5 months as time from skin involvement. Moreover, patients with IgA disease and plasmablastic morphology appear to have a worse OS.
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