Division of Hematology, Dokuz Eylul University School of Medicine, Inciralti 35340, Izmir, Turkey.
Expert Rev Clin Immunol. 2011 Jan;7(1):65-73. doi: 10.1586/eci.10.80.
After the development of a reliable method to detect free light chains in serum, several investigations have been conducted to explore their importance in plasma cell dyscrasias (PCD). Detection of monoclonal proteins is very important in the diagnosis and management of PCD, which include a broad spectrum of diseases such as multiple myeloma and also benign, premalignant disorders like monoclonal gammopathy of undetermined significance. The aim of this article is to summarize the recent studies and to highlight the importance of free light chain analysis in the diagnosis of PCD, its prognostic value and role in the management of this group of diseases.
在开发出可靠的方法来检测血清中的游离轻链后,进行了几项研究来探索其在浆细胞异常增生症(PCD)中的重要性。在 PCD 的诊断和管理中,检测单克隆蛋白非常重要,其中包括广泛的疾病,如多发性骨髓瘤,以及良性、癌前病变,如意义未明的单克隆丙种球蛋白血症。本文旨在总结最近的研究,并强调游离轻链分析在 PCD 的诊断、预后价值和在该组疾病的管理中的作用。