Multiple myeloma: beta-2-microglobulin is not a useful follow-up parameter

Acta Haematol. 1989;82(3):122-5. doi: 10.1159/000205322.

Abstract

Serum beta-2-microglobulin (beta 2M) has been suggested as the most powerful prognostic factor in multiple myeloma (MM). This paper investigates its ability to detect remission and relapse in individual patients. A correlation analysis was carried out between beta 2M and M component determinations, at diagnosis and monthly during follow-up in 21 consecutive MM patients with normal renal function. A statistically significant correlation was observed in 52.4% only. The lack of correlation in the remaining cases was due to low beta 2M production at diagnosis, or independent fluctuation of these 2 parameters. Serum beta 2M proved a much less reliable parameter for the detection of tumour variations than simpler M-component determination.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Blood Proteins / analysis
  • Follow-Up Studies
  • Humans
  • Multiple Myeloma / blood*
  • Prognosis
  • beta 2-Microglobulin / analysis*

Substances

  • Blood Proteins
  • beta 2-Microglobulin