Case 75 – update 1

Thanks for everyones contributions. The following results are now back:

 

SFLC kappa: lambda ratio: 6543.

Igs and serum electrophoresis: Immuneparesis and IgA kappa paraprotein 18

B2 microglobulin 8.7. Albumin 28.

Bone marrow biopsy: 66% plasma cells morphologically.

Flow cytometry (blood and BM): CD 20+, CD38+, CD138+, CD56-

MRI in progress

 

 

What is the diagnosis?

What’s the criteria for plasma cell leukaemia?

How do we differentiate between myeloma and primary plasma cell leukaemia?

What are the cytogenetics results likely to be?

 

Please reply with #Teamhaem so everyone can be involved!

 

 

 

 

 

 

About TeamHaem

Online education and discussion about all things haematological
This entry was posted in Myeloma/paraproteins and tagged , , , , . Bookmark the permalink.