3 doctors weighed in:

Serum free light chain ratio is normal but lambda ife in 24 hour urine. renal and anemia but normal ca. is there reason for more mm workup bm biopsy?

3 doctors weighed in
Dr. Gurmukh Singh
Pathology
2 doctors agree

In brief: Yes

Light chain ratio is unreliable.
If you have monoclonal lambda chain in urine, you need to have bone marrow examination for myeloma work-up.

In brief: Yes

Light chain ratio is unreliable.
If you have monoclonal lambda chain in urine, you need to have bone marrow examination for myeloma work-up.
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