Canterbury DHB

Context

Diagnostic Criteria

The WHO 2007 diagnostic criteria are now the same as the International Myeloma Working Group, as found in BJH 2003 121(5) p749-757. These are, in short:

  • The presence of an M protein in serum or urine (any level)
  • Bone marrow (clonal) plasma cells OR plasmacytoma (any level)
  • Related Organ or Tissue Impairment (ROTI)
    • C Calcium increased (>2.75 mmol/L)
    • R Renal insufficiency (>173 mmol/L with no other cause)
    • A Anaemia (20 g/L below normal range)
    • B Bone lesions
    • O Other, i.e., hyperviscosity, amyloid, recurrent infections, etc.

About this Canterbury DHB document (5583):

Document Owner:

Sean Macpherson (see Who's Who)

Issue Date:

September 2014

Next Review:

September 2016

Keywords:

Note: Only the electronic version is controlled. Once printed, this is no longer a controlled document. Disclaimer

Topic Code: 5583