Canada
A 43-year-old female asked:
serum -tiny igm kappa monoclonal protein b2 region, urine - tiny igm k paraproteinemia in gamma region. was a mistake made or is lab normal?
1 doctor answer • 2 doctors weighed in

Dr. Stevan Cordas answered
Internal Medicine 57 years experience
Monoclonal: •multiple myeloma (g>a>m>e, d)
•primary macroglobulinemia (waldenstrøm’s, igm)
•monoclonal gammopathy of undetermined significance (mgus) (converts at 2% per year to myeloma)
•miscellaneous conditions
•(converts at 2% per year to myeloma)
these all have to be thought of by the hematologist.
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Last updated Jun 7, 2014
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