Male sex adversely impacts survival and myeloid malignancy risk in MGUS: a real-world population-based study.

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All Authors

Roman, E.
Bagguley, T.
Crouch, S.
Smith, A.
Painter, D.
Howell, D.
Patmore, R.
Tooze, R.
Cargo, C.
De Tute, R.

LTHT Author

Tooze, Reuben
Cargo, Catherine
de Tute, Ruth
Rawstron, Andy
Cook, Gordon
Parrish, Christopher
Seymour, Frances

LTHT Department

Oncology
Leeds Cancer Centre
Haematological Malignancy Diagnostic Service
Haematology

Non Medic

Consultant Clinical Scientist LeadClinical Scientist

Publication Date

2026

Item Type

Journal Article

Language

Subject

Subject Headings

Abstract

Monoclonal gammopathy of undetermined significance (MGUS) is a common plasma cell disorder with well described risks of progression to myeloma and lymphoplasmacytic lymphoma. Using data from an established UK population-based cohort of haematological malignancies and premalignancies, we investigated patient and disease characteristics, subsequent haematological malignancy, and survival in 4651 people diagnosed with MGUS 2005-2019. The 5-year net (relative) survival (disease-specific estimate of the probability of survival) of MGUS patients was 87.8% (95% Confidence Interval 85.9-89.7), with males (83.8%; 95% CI 81.0-86.6) more affected than females (92.2%; 95% CI 89.7-94.7). The proportion of subsequent haematological malignancies was also higher in males than females (8.8% versus 5.3%; P.

Journal

Haematologica