Schmidt E B, Møller-Petersen J, Leegaard O F
Scand J Prim Health Care. 1985 May;3(2):95-8. doi: 10.3109/02813438509013924.
The clinical diagnoses in all 88 cases of monoclonal gammopathy, detected by general practitioners in Northern Jutland during a 3-year period, were investigated: 15% had malignant monoclonal gammopathy, 5% had non-haematologic cancers, and in 80% a benign disorder was found. These results indicate that the finding of a monoclonal gammopathy in general practice deserves attention, but it is rarely accompanied by a grave prognosis. Malignant monoclonal gammopathy should be suspected, but search for another type of cancer is not indicated.
对日德兰半岛北部全科医生在3年期间检测出的88例单克隆丙种球蛋白病患者的临床诊断情况进行了调查:15%患有恶性单克隆丙种球蛋白病,5%患有非血液系统癌症,80%被发现患有良性疾病。这些结果表明,在全科医疗中发现单克隆丙种球蛋白病值得关注,但很少伴有严重预后。应怀疑恶性单克隆丙种球蛋白病,但无需查找其他类型的癌症。