Case 137 – Update 3

You have undertaken a bone marrow biopsy and the aspirate (shown below) and flow are back.

There is a population of abnormal CD20+, CD38+, CD138+, CD56+ cells.

Cytogenetics awaited

His calcium is a little better at 3.1 but his renal function is fairly static with a creatinine of 185 and urea 8.3.

LDH is normal. 

B2m 5.6

Albumin 36

What would be your choice of treatment?

What supportive management would you undertake along side this?

It’s a Friday evening and you can’t start definitive treatment until next week.  Anything you want to do in the meantime?

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