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Monoclonal gammopathy of undetermined significance (MGUS)

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Monoclonal gammopathy of undetermined significance, or MGUS, is a condition that isn't cancer. It happens in the bone marrow, the soft tissue inside your bones. That's where plasma cells are found, and they make antibodies: the proteins your body uses to defend itself against bacteria and viruses.

In MGUS, some abnormal plasma cells produce M protein, also called monoclonal protein, which explains the word "monoclonal" in the name. M protein is an antibody, but not one the body needs: it doesn't help fight infection. Picture a key factory where a few machines fall out of alignment and start turning out keys that don't open any door.

MGUS may be found during a routine blood or urine test. In some people, it can turn into cancer, such as multiple myeloma. But in most, the amount of M protein stays the same and no symptoms show up.

In brief

Monoclonal gammopathy of undetermined significance (MGUS) is a noncancerous disorder of the plasma cells in the bone marrow.

These cells make antibodies that fight bacteria and viruses. In MGUS, abnormal plasma cells produce M protein (monoclonal protein), an antibody the body doesn't need and that doesn't help fight infection.

MGUS may show up on routine blood or urine tests. In most people, the M protein level stays the same and there are no symptoms, but in some people, MGUS can turn into cancer, such as multiple myeloma.

Sources (2)
  1. National Cancer Institute (NCI), PDQPlasma Cell Neoplasms (Including Multiple Myeloma) Treatment (PDQ®), Patient VersionPublished
  2. National Cancer Institute (NCI), PDQPlasma Cell Neoplasms (Including Multiple Myeloma) Treatment (PDQ®), Health Professional VersionPublished

This page explains the topic in general terms; it does not tell anyone what treatment to follow.

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