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Chapter 8 - Plasma Cell Neoplasms

from Section 1 - Mature B-cell and Plasma Cell Neoplasms

Published online by Cambridge University Press:  20 May 2026

Wei Wang
Affiliation:
The University of Texas MD Anderson Cancer Center
Sa A. Wang
Affiliation:
The University of Texas MD Anderson Cancer Center
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Summary

Neoplasms derived from plasma cells are collectively termed plasma cell neoplasms (PCNs), the most notable of which is multiple myeloma. Neoplastic plasma cells in PCNs have distinct immunophenotypes that differ from normal plasma cells and those associated with B-cell lymphoma. Thus flow cytometry can be used to identify aberrant plasma cells to facilitate diagnosis and to monitor treatment response, such as minimal residual (measurable) disease. In addition, flow cytometry is instrumental in differentiating plasma cell neoplasms from B-cell lymphomas with plasmacytic differentiation, such as lymphoplasmacytic lymphoma or marginal zone lymphoma. This distinction is of critical importance in terms of clinical treatment and prognosis. This chapter focuses on the applications of flow cytometry in characterizing the immunophenotypic features of plasma cell neoplasms and their key distinctions from B-cell lymphomas and other diagnostic challenges.

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