5 doctors weighed in:

Kappa/lambda FLC ratio high (2.75) w/ normal K(10.21mg/dl) & low L(3.68mg/dl). Hem-onc unsure if ratio implies K monoclonality since serum/urine IFE ok & neither chain is elevated. Could monoclonal K be suppressing L? IgA a bit high IgG &IgM a bitlow

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

In brief: Useless test

K/L ratio is not a useful test.
About one third of patients without monoclonal immunoglboulin have an abnormal ratio, usually with kappa excess. If you must, the next step would be a bone marrow examination. You may consult this article that I wrote: https://www.ncbi.nlm.nih.gov/pubmed/27473738 At your age you are unlikely to have myeloma.

In brief: Useless test

K/L ratio is not a useful test.
About one third of patients without monoclonal immunoglboulin have an abnormal ratio, usually with kappa excess. If you must, the next step would be a bone marrow examination. You may consult this article that I wrote: https://www.ncbi.nlm.nih.gov/pubmed/27473738 At your age you are unlikely to have myeloma.
Dr. Gurmukh Singh
Dr. Gurmukh Singh
Thank
Dr. John Goldman
Internal Medicine - Rheumatology

In brief: We need more inform

We need more information.
next up is a bone marrow but I really doubt this is legacy. It would certainly be very unusual your age

In brief: We need more inform

We need more information.
next up is a bone marrow but I really doubt this is legacy. It would certainly be very unusual your age
Dr. John Goldman
Dr. John Goldman
Thank
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