A member asked:

What state is this when m spike is below 1 but plasma cells is 14 in bone marrow n no crab features pls hematologist opion?

A doctor has provided 1 answer
Dr. Le Wang answered

Specializes in Internal Medicine

SMM: You have smoldering multiple myeloma (as your bone marrow plasma cells >10%. Most of time, SMM does not require treatment (SMM). However, you should do risk stratification such as free light chain ratio. Certain high-risk SMM may be managed as symptomatic MM. f/u with your hematologist.

Answered 7/30/2014

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