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.


  • 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?

Join us on Twitter @TeamHaem and let us know what your thoughts are, what questions you have and what you want to do as we see this case evolve over the next week. Remember to use #teamhaem on all your posts to help us follow the case! Please note – all cases on TeamHaem are entirely fictional to protect patient confidentiality. TeamHaem are not a position of authority. It is an educational platform to allow discussion and learning.

About TeamHaem

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