{"id":17718,"date":"2026-09-25T17:35:03","date_gmt":"2026-09-25T17:35:03","guid":{"rendered":"https:\/\/atlasemhematologia.com.br\/blog\/?p=17718"},"modified":"2026-09-21T17:37:32","modified_gmt":"2026-09-21T17:37:32","slug":"o-hemograma-no-mieloma-multiplo","status":"publish","type":"post","link":"https:\/\/atlasemhematologia.com.br\/blog\/o-hemograma-no-mieloma-multiplo\/","title":{"rendered":"O hemograma no Mieloma M\u00faltiplo"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">O Mieloma M\u00faltiplo \u00e9 uma neoplasia de plasm\u00f3citos que se proliferam de forma clonal na medula \u00f3ssea, produzindo imunoglobulina monoclonal em excesso. \u00c9 a segunda neoplasia hematol\u00f3gica mais comum em adultos, com mediana de diagn\u00f3stico entre 65 e 69 anos. Seu diagn\u00f3stico formal exige a integra\u00e7\u00e3o de m\u00faltiplos crit\u00e9rios cl\u00ednicos e laboratoriais, mas o hemograma e o esfrega\u00e7o de sangue perif\u00e9rico frequentemente s\u00e3o os primeiros exames a levantar a suspeita. Reconhecer os achados hematol\u00f3gicos iniciais do mieloma \u00e9 uma compet\u00eancia que pode encurtar significativamente o caminho at\u00e9 o diagn\u00f3stico.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img fetchpriority=\"high\" decoding=\"async\" width=\"414\" height=\"287\" src=\"https:\/\/atlasemhematologia.com.br\/blog\/wp-content\/uploads\/2026\/09\/image-13.png\" alt=\"\" class=\"wp-image-17720\" style=\"aspect-ratio:1.4433497536945812;width:586px;height:auto\" srcset=\"https:\/\/atlasemhematologia.com.br\/blog\/wp-content\/uploads\/2026\/09\/image-13.png 414w, https:\/\/atlasemhematologia.com.br\/blog\/wp-content\/uploads\/2026\/09\/image-13-300x208.png 300w\" sizes=\"(max-width: 414px) 100vw, 414px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><\/h3>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Achados do hemograma no Mieloma M\u00faltiplo<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">O hemograma no mieloma m\u00faltiplo apresenta, na maioria dos casos, anemia normoc\u00edtica normocr\u00f4mica como achado predominante. Essa anemia resulta da supress\u00e3o da eritropoiese normal pela prolifera\u00e7\u00e3o plasmocit\u00e1ria na medula \u00f3ssea, pela insufici\u00eancia renal frequentemente associada e pela produ\u00e7\u00e3o de citocinas inibit\u00f3rias pelo clone neopl\u00e1sico. Em casos avan\u00e7ados, a plaquetopenia e a leucopenia podem compor um quadro de pancitopenia, refletindo o grau de infiltra\u00e7\u00e3o medular.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">A velocidade de hemossedimenta\u00e7\u00e3o costuma estar muito elevada, frequentemente acima de 100 mm\/h na primeira hora, em virtude da hiperproteinemia monoclonal. A dosagem de beta-2 microglobulina e a eletroforese de prote\u00ednas s\u00e9ricas s\u00e3o os exames que confirmam a suspeita levantada pelo hemograma.<\/h3>\n\n\n\n<h3 class=\"wp-block-heading\"><\/h3>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Rouleaux no esfrega\u00e7o<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Um achado caracter\u00edstico do mieloma m\u00faltiplo, no esfrega\u00e7o de sangue perif\u00e9rico \u00e9 o Rouleaux, definido pelo empilhamento de hem\u00e1cias, como pilhas de moedas. Esse arranjo, no Mieloma, resulta da presen\u00e7a de prote\u00ednas monoclonais em excesso no plasma, especialmente IgG e IgA, que neutralizam a carga el\u00e9trica negativa da superf\u00edcie eritrocit\u00e1ria e permitem que as c\u00e9lulas empilhem-se. O Rouleaux \u00e9 mais bem visualizado nas extremidades do esfrega\u00e7o, sob menor amplia\u00e7\u00e3o.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cabe destacar que o Rouleaux intenso pode interferir na contagem automatizada de hem\u00e1cias, gerando resultados falsos nos \u00edndices hematim\u00e9tricos. Al\u00e9m disso, em casos com maior carga tumoral e infiltra\u00e7\u00e3o medular avan\u00e7ada, podem ser observados plasm\u00f3citos circulantes no esfrega\u00e7o. A identifica\u00e7\u00e3o de plasm\u00f3citos no sangue perif\u00e9rico \u00e9 um achado de que exige cautela, quando associado a outras informa\u00e7\u00f5es cl\u00ednicas, e achados do paciente, deve refor\u00e7ar a suspeita para mieloma.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>O papel do laborat\u00f3rio na cadeia diagn\u00f3stica do Mieloma M\u00faltiplo<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">O diagn\u00f3stico de mieloma m\u00faltiplo exige a integra\u00e7\u00e3o de crit\u00e9rios laboratoriais espec\u00edficos. A triagem inicial inclui hemograma, com avalia\u00e7\u00e3o do esfrega\u00e7o sangu\u00edneo,&nbsp; dosagem de c\u00e1lcio, creatinina, LDH, beta-2 microglobulina, albumina e, principalmente, eletroforese com imunofixa\u00e7\u00e3o de prote\u00ednas s\u00e9ricas e urin\u00e1rias. A detec\u00e7\u00e3o de pico monoclonal na eletroforese \u00e9 o achado laboratorial mais espec\u00edfico e deve ser seguida de quantifica\u00e7\u00e3o das cadeias leves livres s\u00e9ricas e do mielograma com imunofenotipagem.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">O laboratorista que identifica anemia normoc\u00edtica normocr\u00f4mica, com VHS muito elevada, e Rouleaux no esfrega\u00e7o em um paciente acima de 60 anos, deve registrar esse conjunto de achados com objetividade no laudo, pois essa combina\u00e7\u00e3o \u00e9 altamente sugestiva de gamopatia monoclonal. A qualidade da observa\u00e7\u00e3o morfol\u00f3gica nesse momento pode determinar se o paciente ser\u00e1 investigado precocemente ou aguardar\u00e1 meses at\u00e9 a identifica\u00e7\u00e3o da doen\u00e7a.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/eventos.atlasemhematologia.com.br\/listadeesperatimeblogatlas\"><img decoding=\"async\" width=\"1030\" height=\"276\" src=\"https:\/\/atlasemhematologia.com.br\/blog\/wp-content\/uploads\/2026\/03\/BANNER-BLOG-ATLAS-1030x276.png\" alt=\"\" class=\"wp-image-17314\" srcset=\"https:\/\/atlasemhematologia.com.br\/blog\/wp-content\/uploads\/2026\/03\/BANNER-BLOG-ATLAS-1030x276.png 1030w, https:\/\/atlasemhematologia.com.br\/blog\/wp-content\/uploads\/2026\/03\/BANNER-BLOG-ATLAS-300x80.png 300w, https:\/\/atlasemhematologia.com.br\/blog\/wp-content\/uploads\/2026\/03\/BANNER-BLOG-ATLAS-768x206.png 768w, https:\/\/atlasemhematologia.com.br\/blog\/wp-content\/uploads\/2026\/03\/BANNER-BLOG-ATLAS-1536x411.png 1536w, https:\/\/atlasemhematologia.com.br\/blog\/wp-content\/uploads\/2026\/03\/BANNER-BLOG-ATLAS-2048x549.png 2048w\" sizes=\"(max-width: 1030px) 100vw, 1030px\" \/><\/a><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Refer\u00eancias<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">OLIVEIRA, Larissa Santana; ALCANTARA, Thiago Ruan de Lima. <em>Atlas em hematologia: um guia visual para a identifica\u00e7\u00e3o de c\u00e9lulas sangu\u00edneas<\/em>. 1. ed. Salvador: Oxente, 2025.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">ELDIN, Sary; AMARAL, Gennaro Antonucci; SANTANA, Marcio Ant\u00f4nio Portugal. Mieloma m\u00faltiplo: diagn\u00f3stico e tratamento. <strong>Rev Med Minas Gerais<\/strong>, v. 19, n. 1, p. 58-62, 2009.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">SILVA, Roberta O. Paula e et al. Mieloma m\u00faltiplo: caracter\u00edsticas cl\u00ednicas e laboratoriais ao diagn\u00f3stico e estudo progn\u00f3stico. <strong>Revista brasileira de hematologia e hemoterapia<\/strong>, v. 31, n. 2, p. 63-68, 2009.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">SINGH, G.; XU, H.; BOLLAG, R. J. Monoclonal light chains in multiple myeloma: the sinister immunoglobulin. <strong>Int J Pathol Clin Res<\/strong>, v. 8, n. 2, p. 134, 2022.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>O Mieloma M\u00faltiplo \u00e9 uma neoplasia de plasm\u00f3citos que se proliferam de forma clonal na medula \u00f3ssea, produzindo imunoglobulina monoclonal em excesso. \u00c9 a segunda neoplasia hematol\u00f3gica mais comum em adultos, com mediana de diagn\u00f3stico entre 65 e 69 anos. Seu diagn\u00f3stico formal exige a integra\u00e7\u00e3o de m\u00faltiplos crit\u00e9rios cl\u00ednicos e laboratoriais, mas o hemograma [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":17721,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"pagelayer_contact_templates":[],"_pagelayer_content":"","footnotes":""},"categories":[18],"tags":[],"class_list":["post-17718","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-doencas-hematologicas"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>O hemograma no Mieloma M\u00faltiplo - Blog - Atlas em Hematologia<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/atlasemhematologia.com.br\/blog\/o-hemograma-no-mieloma-multiplo\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"O hemograma no Mieloma M\u00faltiplo - Blog - Atlas em Hematologia\" \/>\n<meta property=\"og:description\" content=\"O Mieloma M\u00faltiplo \u00e9 uma neoplasia de plasm\u00f3citos que se proliferam de forma clonal na medula \u00f3ssea, produzindo imunoglobulina monoclonal em excesso. \u00c9 a segunda neoplasia hematol\u00f3gica mais comum em adultos, com mediana de diagn\u00f3stico entre 65 e 69 anos. Seu diagn\u00f3stico formal exige a integra\u00e7\u00e3o de m\u00faltiplos crit\u00e9rios cl\u00ednicos e laboratoriais, mas o hemograma [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/atlasemhematologia.com.br\/blog\/o-hemograma-no-mieloma-multiplo\/\" \/>\n<meta property=\"og:site_name\" content=\"Blog - Atlas em Hematologia\" \/>\n<meta property=\"article:published_time\" content=\"2026-09-25T17:35:03+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/atlasemhematologia.com.br\/blog\/wp-content\/uploads\/2026\/09\/1308-BLOG.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1080\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"EQUIPE SOCIAL MEDIA INML\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"EQUIPE SOCIAL MEDIA INML\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/atlasemhematologia.com.br\/blog\/o-hemograma-no-mieloma-multiplo\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/atlasemhematologia.com.br\/blog\/o-hemograma-no-mieloma-multiplo\/\"},\"author\":{\"name\":\"EQUIPE SOCIAL MEDIA INML\",\"@id\":\"https:\/\/atlasemhematologia.com.br\/blog\/#\/schema\/person\/196f68c9c85dd34becfda2cfd3e084a2\"},\"headline\":\"O hemograma no Mieloma M\u00faltiplo\",\"datePublished\":\"2026-09-25T17:35:03+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/atlasemhematologia.com.br\/blog\/o-hemograma-no-mieloma-multiplo\/\"},\"wordCount\":679,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/atlasemhematologia.com.br\/blog\/#organization\"},\"image\":{\"@id\":\"https:\/\/atlasemhematologia.com.br\/blog\/o-hemograma-no-mieloma-multiplo\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/atlasemhematologia.com.br\/blog\/wp-content\/uploads\/2026\/09\/1308-BLOG.png\",\"articleSection\":[\"DOEN\u00c7AS HEMATOL\u00d3GICAS\"],\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/atlasemhematologia.com.br\/blog\/o-hemograma-no-mieloma-multiplo\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/atlasemhematologia.com.br\/blog\/o-hemograma-no-mieloma-multiplo\/\",\"url\":\"https:\/\/atlasemhematologia.com.br\/blog\/o-hemograma-no-mieloma-multiplo\/\",\"name\":\"O hemograma no Mieloma M\u00faltiplo - 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