[Waldemström s macroglobulinemia].
Waldenström s macroglobulinemia is an uncommon B-cell lymphoproliferative disorder characterized by bone marrow infiltration of luymphoplasmatic lymphoma, although sometimes there is a extramedullary lymphoma (nodal), with demonstration of an IgM monoclonal gammopathy. It must be distinguished from monoclonal gammopathy of undetermined significance and IgM- related disorders. The median survival of patients with Waldenström s macroglobulinemia averages 5 years. Asymptomatic cases should not be treated. Symtomatic cases could be treated with alkylating agents, nucleoside analogues (fludarabine or cladribine), and the monoclonal antibody rituximab. For the management of hyperviscosity and neuropathies plasmapheresis could be used successfully.
Khosravi Shahi
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Servicios de Oncología Médica y Medicina Interna II, Hospital General Universitario Gregorio Marañón, Madrid. drkhosravi@hotmail.com
del Castillo Rueda
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A
Díaz Muñoz de la Espada
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VM
D000970:Antineoplastic Agents / Q000627:therapeutic use; D017408:Guidelines as Topic; D006801:Humans; D008258:Waldenstrom Macroglobulinemia / Q000175:diagnosis* / Q000188:drug therapy
D000970:Antineoplastic Agents