Cerebrospinal fluid beta-2-microglobulin in adult patients with acute leukemia or lymphoma: a useful marker in early diagnosis and monitoring of CNS-involvement
- 29 January 2009
- journal article
- Published by Hindawi Limited in Acta Neurologica Scandinavica
- Vol. 85 (3), 224-227
- https://doi.org/10.1111/j.1600-0404.1992.tb04033.x
Abstract
Beta-2-microglobulin (B2m) was measured in the cerebrospinal fluid (CSF) and serum from 18 adults with acute lymphoblastic leukemia, acute myeloblastic leukemia or lymphoma in order to detect early central nervous system (CNS) involvement or relapse. Six had CNS-involvement documented by neurologic symptoms and tumor cells in the CSF. Their CSF-B2m-concentrations were significantly higher before intrathecal chemotherapy than in those without this complication (P less than 0.01). During therapy CSF-B2m levels fell rapidly to normal values on repeated measurements. The study demonstrates that serial determination of CSF-B2m alone may be a useful and sensitive marker of CNS-dissemination in acute leukemia and malignant lymphoma. Using the criteria of CSF-B2m greater than 160 nmol/l as a positive diagnostic test the sensitivity of the test was 100%, the specificity was 76%. The same values for the CSF/serum-ratio greater than 1 were 75% and 64%, respectively.Keywords
This publication has 19 references indexed in Scilit:
- Serum Beta2-Microglobulin in Acute and Chronic LeukaemiaScandinavian Journal of Haematology, 2009
- β2‐Microglobulin, lysozyme and lactoferrin in cerebrospinal fluid in patients with lymphoma or leukaemia: relationship to CNS involvement and the effect of prophylactic intrathecal treatment with methotrexateBritish Journal of Haematology, 1987
- Measurement of beta-2-microglobulin in human cerebrospinal fluid by ELISA techniqueActa Neurologica Scandinavica, 1986
- Measurement of beta-2-microglobulin in serum and plasma by an enzyme-linked immunosorbent assay (ELISA)Clinica Chimica Acta; International Journal of Clinical Chemistry, 1986
- Serum beta2 microglobulin and survival duration in multiple myeloma: a simple reliable marker for staging.British Journal of Haematology, 1983
- CEREBROSPINAL FLUID LEVELS BETA2MICROGLOBULIN AND FERRITIN IN LYMPHOPROLIVERATIVE DISORDERSActa Paediatrica, 1982
- Diagnosis of Leukemia or Lymphoma in the Central Nervous System by Beta2-Microglobulin DeterminationNew England Journal of Medicine, 1980
- Serum β2 microglobulin and its prognostic value in lymphomasEuropean Journal of Cancer (1965), 1979
- β2-MICROGLOBULIN, A TUMOUR MARKER OF LYMPHOPROLIFERATIVE DISORDERSThe Lancet, 1978
- Serum β2-Microglobulin in Renal DiseaseNephron, 1973