Case D
45 year old gentleman complaining of back pain.
Hb 120 g/l, calcium 2.33 mmol/L, creatinine 75
IgG 34g/L
Serum involved:non-involved light chains – 115
BM – 35% plasma cells
MRI – no lytic lesions
How would you classify this patient?
a) smouldering myeloma
b)MGUS
c) light chain MGUS
d) active myeloma
e) light chain myeloma
how would you manage this patient?