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Verify against current guidelines, primary literature, staging manuals, and prescribing information before clinical use.
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MGUS — Risk Stratification & Monitoring
MGUS
M-protein < 3 g/dL
< 10% plasma cells
Low-risk MGUS
Intermediate / high-risk
IgM MGUS
Monitor
Recheck SPEP at 6 mo, then q2–3 yr
no marrow / imaging needed
Work-up
Bone marrow + whole-body imaging
then annual follow-up
Monitor
Surveillance for Waldenström / lymphoma
distinct biology