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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.