Management of Multiple Myeloma in Resource-Constrained Settings

A 54-year-old man is referred to your clinic for evaluation of elevated serum total protein (8.8 gm/dL) noted on routine labs recently. Additional evaluation included a serum protein electrophoresis, which revealed a monoclonal spike in the gamma region measuring 3.2 gm/dL, and a corresponding serum immunofixation confirm IgG kappa monoclonal protein. Serum free kappa was elevated at 34 mg/dL and the free lambda was 0.61 mg/dL for an elevated kappa/lambda ratio of 55.7. Serum IgA and IgM levels were low.
Source: Seminars in Oncology - Category: Cancer & Oncology Authors: Source Type: research