关键词: Monoclonal gammopathies Morocco Waldenström lymphomas monoclonal gammopathy of unknown significance myeloma plasmocytoma Monoclonal gammopathies Morocco Waldenström lymphomas monoclonal gammopathy of unknown significance myeloma plasmocytoma Monoclonal gammopathies Morocco Waldenström lymphomas monoclonal gammopathy of unknown significance myeloma plasmocytoma

Mesh : Adolescent Cross-Sectional Studies Delayed Diagnosis Female Humans Male Morocco / epidemiology Paraproteinemias / diagnosis epidemiology Retrospective Studies

来  源:   DOI:10.11604/pamj.2022.41.69.32470   PDF(Pubmed)

Abstract:
UNASSIGNED: given the lack of information about monoclonal gammopathies, our primary study outcome was to describe the epidemiological, clinical and biochemical profiles of monoclonal gammopathies in the Souss-Massa region, in southern Morocco.
UNASSIGNED: we conducted a retrospective study, by selecting only complete medical records. We used records of patients diagnosed with monoclonal gammopathy at the local oncology center during a period of over 10 years.
UNASSIGNED: one hundred and seventeen patients were included in the study, with a high male predominance (65%) and a male/female sex-ratio of 1.85. The average age of our study population was 61.44 (ET 14.54) years. Diagnoses (based on frequency) included: multiple myeloma 82.0% (n=96), solitary plasmacytoma 8.5% (n=10), monoclonal gammopathies of undetermined significance 2.6% (n=3), lymphoma 2.5% (n=3), secondary plasma cell leukaemia 1.7% (n=2), Waldenström´s disease 1.7%(n=2) and chronic lymphoid leukemia (n=1). The isotype distribution was as follows: IgG Kappa 33.7% (n=28), IgG lambda 21.7% (n=18), IgA Kappa 12.0% (n=10), IgA lambda 7.2% (n=6), IgM kappa 3.6% (n=3), and IgD lambda 2.4% (n=2). Biconal peak was reached in two cases, with a percentage of 2.4%.
UNASSIGNED: diagnostic delay was observed compared to international studies due to the unavailability of electrophoresis in the care structures.
摘要:
未经证实:由于缺乏有关单克隆丙种球蛋白的信息,我们的主要研究结果是描述流行病学,Souss-Massa地区单克隆丙种球蛋白的临床和生化特征,在摩洛哥南部。
未经评估:我们进行了一项回顾性研究,只选择完整的医疗记录。我们使用了在当地肿瘤中心诊断为单克隆丙种球蛋白病的患者超过10年的记录。
未经评估:这项研究纳入了117名患者,男性占比很高(65%),男女性别比为1.85。我们研究人群的平均年龄为61.44(ET14.54)岁。诊断(基于频率)包括:多发性骨髓瘤82.0%(n=96),孤立性浆细胞瘤8.5%(n=10),意义不明的单克隆丙种球蛋白2.6%(n=3),淋巴瘤2.5%(n=3),继发性浆细胞白血病1.7%(n=2),Waldenström病1.7%(n=2)和慢性淋巴样白血病(n=1)。同种型分布如下:IgGκ33.7%(n=28),IgGλ21.7%(n=18),IgAκ12.0%(n=10),IgAλ7.2%(n=6),IgMκ3.6%(n=3),和IgDλ2.4%(n=2)。在两个案例中达到了双峰,比例为2.4%。
UNASSIGNED:与国际研究相比,由于护理结构中无法使用电泳,因此观察到诊断延迟。
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