Table 1.

Patient clinical and hematologic characteristics

PC-AL (n = 544)PC–non-AL (n = 519)P
Clinical parameters    
 Median age (range), y 62 (36-82) 57 (25-91) .003 
 Sex, n (%)   .01 
  Male 343 (63.0) 287 (55.3)  
  Female 201 (37.0) 232 (44.7)  
 Karnofsky index, median (range) 80 (30-100)   
Hematologic parameters    
 Stage of plasma cell dyscrasia, n (%)   <.001 
  MGUS 164 (30.1) 62 (11.9)  
  SMM 345 (63.4) 156 (30.1)  
  MM 35 (6.4) 301 (58.0)  
 Bone marrow plasmocytosis, median (range), % 12 (1-99) 30 (1-100) <.001 
 Median bone marrow plasmocytosis according to stage of plasma cell dyscrasia, %    
  MGUS 5.9 6.1  
  SMM 18.7 23.3  
  MM 46.8 55.8  
 Monoclonal protein, n (%)   <.001 
  IgG 157 (28.9) 328 (63.2)*  
  IgA 49 (9.0) 116 (22.4)*  
  IgD 6 (1.1) 3 (0.6)  
  Light chain only 332 (61.0) 66 (12.7)  
 Light chain restriction, n (%)   <.001 
  κ 124 (22.8) 322 (62.3)*  
  λ 420 (77.2) 193 (37.3)*  
 dLFC, median (range), mg/L 306.2 (−17.7 to 19 251.5)   
  ≥180, n/N (%) 340/533 (63.8)   
Organ involvement    
 No. of involved organs, median (range) 3 (1-7)   
 Heart involvement, n/N (%) 429/544 (78.9)   
 Mayo stage 2004, N (%)    
  I 73 (13.8)   
  II 196 (37.2)   
  III 258 (49.0)   
 NT-pro-BNP, median (range), ng/L 4134 (22-565 442)   
 Soft tissue involvement, n/N (%) 249/543 (45.9)   
 Renal involvement, n/N (%) 233/543 (57.1)   
 Renal stage, N (%)    
  1 271 (52.0)   
  2 192 (36.9)   
  3 58 (11.1)   
 GI tract involvement, n/N (%) 192/544 (35.3)   
 Liver involvement, n/N (%) 104/543 (19.2)   
 Peripheral neuropathy, n/N (%) 88/543 (16.2)   
PC-AL (n = 544)PC–non-AL (n = 519)P
Clinical parameters    
 Median age (range), y 62 (36-82) 57 (25-91) .003 
 Sex, n (%)   .01 
  Male 343 (63.0) 287 (55.3)  
  Female 201 (37.0) 232 (44.7)  
 Karnofsky index, median (range) 80 (30-100)   
Hematologic parameters    
 Stage of plasma cell dyscrasia, n (%)   <.001 
  MGUS 164 (30.1) 62 (11.9)  
  SMM 345 (63.4) 156 (30.1)  
  MM 35 (6.4) 301 (58.0)  
 Bone marrow plasmocytosis, median (range), % 12 (1-99) 30 (1-100) <.001 
 Median bone marrow plasmocytosis according to stage of plasma cell dyscrasia, %    
  MGUS 5.9 6.1  
  SMM 18.7 23.3  
  MM 46.8 55.8  
 Monoclonal protein, n (%)   <.001 
  IgG 157 (28.9) 328 (63.2)*  
  IgA 49 (9.0) 116 (22.4)*  
  IgD 6 (1.1) 3 (0.6)  
  Light chain only 332 (61.0) 66 (12.7)  
 Light chain restriction, n (%)   <.001 
  κ 124 (22.8) 322 (62.3)*  
  λ 420 (77.2) 193 (37.3)*  
 dLFC, median (range), mg/L 306.2 (−17.7 to 19 251.5)   
  ≥180, n/N (%) 340/533 (63.8)   
Organ involvement    
 No. of involved organs, median (range) 3 (1-7)   
 Heart involvement, n/N (%) 429/544 (78.9)   
 Mayo stage 2004, N (%)    
  I 73 (13.8)   
  II 196 (37.2)   
  III 258 (49.0)   
 NT-pro-BNP, median (range), ng/L 4134 (22-565 442)   
 Soft tissue involvement, n/N (%) 249/543 (45.9)   
 Renal involvement, n/N (%) 233/543 (57.1)   
 Renal stage, N (%)    
  1 271 (52.0)   
  2 192 (36.9)   
  3 58 (11.1)   
 GI tract involvement, n/N (%) 192/544 (35.3)   
 Liver involvement, n/N (%) 104/543 (19.2)   
 Peripheral neuropathy, n/N (%) 88/543 (16.2)   

dFLC, difference between involved and uninvolved light chains; NT-pro-BNP, N-terminal prohormone of brain natriuretic peptide.

*

Group also includes biclonal gammopathies.

Staging criteria according to Dispenzieri et al.39 

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