Evidence map›Paper›PMID 40682515›Full record

ArticleCancer reports (Hoboken, N.J.)2025

Progression of IgM Monoclonal Gammopathy of Renal Significance (MGRS) to Symptomatic Waldenström Macroglobulinemia: A Case Report.

Kenichi Ito, Hiroaki Shimoyamada, Kazuhiko Hirano, Naohiro Sekiguchi

Abstract readCase Reports
In one paragraph

Article in Cancer reports (Hoboken, N.J.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Kenichi ItoHematology Division, National Hospital Organization Disaster Medical Center, Tokyo, Japan.ORCID 0000-0001-5882-7631
Hiroaki ShimoyamadaPathology Division, Dokkyo Medical University Saitama Medical Center, Saitama, Japan.ORCID 0009-0000-2382-8730
Kazuhiko HiranoLaboratory and Pathology Division, National Hospital Organization Disaster Medical Center, Tokyo, Japan.ORCID 0009-0007-8560-1858
Naohiro SekiguchiHematology Division, National Hospital Organization Disaster Medical Center, Tokyo, Japan.ORCID 0000-0001-9860-8257

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMonoclonal gammopathy of renal significance (MGRS) is characterized as renal impairment caused by monoclonal protein but does not fulfill the criteria for specific hematologic malignancies. Most MGRS cases involve IgG, IgA, or light chains, but IgM-MGRS remains poorly understood. CASE: We present a 74-year-old woman with IgM-κ monoclonal proteinuria who initially declined further evaluation. Later, anemia was identified, and a systemic work-up revealed monoclonal immunoglobulin deposition disease in the kidney and symptomatic Waldenström macroglobulinemia. Treatment with a Bruton's tyrosine kinase inhibitor, namely tirabrutinib, rapidly resolved both proteinuria and anemia.

conclusionThis case highlights the importance of early renal biopsy and prompt intervention in suspected IgM-MGRS.

Indexed as

Immunoglobulin MKidney DiseasesParaproteinemiasWaldenstrom MacroglobulinemiaAgedBiopsyDisease ProgressionFemaleHumansKidneyImmunoglobulin Mmonoclonal gammopathy of renal significancemonoclonal immunoglobulin deposition diseaseTirabrutinibWaldenstrom macroglobulinemia

Identifiers

PMID40682515
PMCPMC12275081

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.