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The significance of heavy/light chain immunoglobulin pairs (Hevylite™) in multiple myeloma


Authors: V. Ščudla 1;  T. Pika 2;  J. Minařík 2
Authors‘ workplace: 3. interní klinika-NRE Lékařské fakulty Univerzity Palackého a Fakultní nemocnice, Olomouc 1;  Hemato-onkologická klinika Fakultní nemocnice, Olomouc 2
Published in: Transfuze Hematol. dnes,20, 2014, No. 4, p. 107-116.
Category: Comprehensive Reports, Original Papers, Case Reports

Overview

This article aims to provide information regarding the benefits of the new, highly sensitive analytical method for serum immunoglobulins (HevyliteTM). The assay allows separate quantitative analysis of heavy/light chain immunoglobulin pairs (HLC), i.e. monoclonal („involved“) and polyclonal („uninvolved“) pairs, including their mutual ratio (HLC-r) in multiple myeloma. The article compares in depth the benefits of HevyliteTM versus standard techniques in the diagnosis and monitoring of multiple myeloma course; the evaluation of response to treatment, including minimal residual disease; the early detection of relapse and the prognostic stratification in terms of response duration and overall survival.

Key words:
multiple myeloma, monoclonal immunoglobulin heavy/light chain pairs, HevyliteTM, diagnosis, stratification, minimal residual disease, prognosis


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Labels
Haematology Internal medicine Clinical oncology

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