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?