A member asked:

Kl flc chains to rule out light chain myeloma? no m spike in serum or 24-hr urine, but lambda bence jones in spot urine but md didnt order urine ifa?

A doctor has provided 1 answer

Does not add up: How do you know it was lambda bence jones in urine without a urine IFA? This issue is not suitable for this forum as a diagnosis of myeloma requires results of other tests as well, e.g., bone X-ray, bone marrow examination, serum calcium and beta 2 microglobulin levels etc. It would be prudent to discuss the matter with a hematologist.

Answered 3/9/2016

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