Online Primary Care Doctors Accepting New Patients

$44 video appointments available today with a membership as low as $15/month

Book a Video Appointment
Mesa, AZ
A 59-year-old female asked:

I have inconsistent tests that lean toward multiple myeloma or mgus. first xray lytic lesion; globulin series serum & urine monoclonal positive to gamma; 24 hr electopherurine neg; beginning anemia; bun off; other small abnormals. bone survey neg.

2 doctor answers • 2 doctors weighed in
Dr. Dan Fisher
Dr. Dan Fisheranswered
Internal Medicine 29 years experience
Complicated question: I am not going to be able to give you a better answer here - too complicated. You should have had a good discussion with your oncologist about what this all means. If you have a lytic lesion it may be reasonable to obtain biopsy.
Created for people with ongoing healthcare needs but benefits everyone.
Learn how we can help
2.5k viewsAnswered >2 years ago
Thank
Dr. Hernani Cualing
Dr. Hernani Cualinganswered
Pathology 32 years experience
Need second opinion: The criteria for myeloma vs Mgus changed recently but both changes include exact percentages and size of lytic bone lesions. Your data as you summarized are not adequate and since mgus vs multiple myeloma are like dawn and day, you need to be seen and your precise numbers verified. That said, please see hemeonc in centers experienced in myeloma dx,management,and treatment.
Created for people with ongoing healthcare needs but benefits everyone.
Learn how we can help
2.5k viewsAnswered >2 years ago
Thank

Related questions

A 63-year-old male asked:
Good evening doctors. Does immunofixation serum blood test with no monoclonal proteins found rule out multiple kidney myeloma? Is there a similar blood or urine test to rule out or rule in renal kidney amyloydosis?
1 doctor answer • 1 doctor weighed in
A 46-year-old male asked:
Serum protein electrophoresis showed elevated beta-2 globulin, 5.3 g/L (reference range 2.0-5.0 g/L). What further testing could be done to rule out multiple myeloma, aside from immunofixation and quantitative immunoglobin?
1 doctor answer • 1 doctor weighed in
A 54-year-old female asked:
Does a low C4 level (10) always indicate a problem (such as myeloma, MGUS, auto immune)? Can it be just an insignificant test finding?
1 doctor answer • 1 doctor weighed in
A 50-year-old female asked:
Hello. My neurologist ordered the following tests in 2018. Normal results except for high kappa light chains. Ratio normal Why is it high? Am I at risk for mgus or myeloma? Immune profile and cpk normal. Retest? Kappa0.03-1.94mg/dl My result 2.65?
2 doctor answers • 2 doctors weighed in
A 43-year-old female asked:
Serum immunofixation says IgM kappa in beta2, but urine immunofixation says small discrete band noted in gamma region, no m protein. Is this mgus?
1 doctor answer • 1 doctor weighed in
Last updated Jul 24, 2016

Found in:

Urine›Wounds

People also asked

Serum free light chain test shows normal kappa (8.7mg/dl), low lambda (3.80), high kap/lam ratio (2.31). Serum $ urine electrophoresis show no monoclonal protein, nor does serum immunofixation. Likely MGUS, myeloma, or admyloidosis? CBC/met panel ok.
2 doctor answers • 2 doctors weighed in
I had a serum immunofixation and serum electrophoresis run and the interpretation was suspicious of monoclonal gammopathy and IgG lambda. What does this mean? The beta and gamma globulin where at 0.6 and 0.7 g/dl?
1 doctor answer • 2 doctors weighed in
Apart from myeloma, can MGUS be found in urine only (UPEP) with a normal SPEP? Or does it always show in blood?
1 doctor answer • 1 doctor weighed in
This is for my mother, aged 55. High serum kappas (33), normal lambdas and marginally high kappa lambda ratio (1.9). SPEP and Immunofixation show polyclonal gammopathy (in IgG Kappa and Lambda). Should we be concerned about MGUS/Myeloma ?
1 doctor answer • 1 doctor weighed in
I have MGUS. Dr's also discovered smoldering myeloma cells when my bone marrow was done. I'm getting a second opinion starting 1/16/23 with new Oncologist. Question should I be on medication?
2 doctor answers • 3 doctors weighed in

Related topics

Connect with a U.S. board-certified doctor by text or video anytime, anywhere.
Talk to a doctor now
$44 video appointments with $19/month membership*
*Billed $57 every 3 months. Cancel anytime.

Disclaimer:

Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.

Member App

Get the member app

Play Store Member LinkApp Store Member Link
Continue on web
Provider App

Get the doctor app

Play Store Doctor LinkApp Store Doctor Link
Continue on web
TermsPrivacyCookiesDMCA
Copyright 2023 HealthTap, Inc.