Case 91 – update 2

We have been monitoring our patient 6 monthly for 4 years. His para protein has been slowly rising and was 10g/l on his last visit 3 months ago. He has been bought to clinic slightly earlier to monitor his paraprotein.

Our patient attends his routine review and mentions a lump he has noticed on one of his ribs. It isn’t tender, and is none mobile.

Questions:

  • What could this be? What other information do you need?
  • How would you proceed?
  • What blood tests would you normally do at a routine review?

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