Table 38.3. Durie and Salmon staging system for multiple myeloma
| Table 38.3. Durie and Salmon staging system for multiple myeloma. | ||
|
Stage |
Criteria |
Survival (months) |
| I | All the following: | |
| 1. Hemoglobin >10 g/dL | ||
| 2. Serum calcium <12 mg/dL | ||
| 3. Normal bones or single plasmacytoma | 46 | |
| 4. Low M component: | ||
| a. IgG <5 g/dL | ||
| b. IgA <3 g/dL | ||
| c. Urinary M component: <4 g/24 h | ||
| II | Neither stage I nor III | 32 |
| III | At least one of following: | |
| 1. Hemolobin <8.5 g/dL | 23 | |
| 2. Serum calcium >12 g/dL | ||
| 3. Advanced bone disease | ||
| 4. High M component: | ||
| a. IgG >7 g/dL | ||
| b. IgA >5 g/dL | 32 | |
| c. Urinary M component: >12 g/24 h | 11 | |
| Subclassification: A, serum creatinine <2.0 mg/dl; B, serum creatinine >2.0 mg/dl. | ||