A patient suspected of multiple myeloma presents with the following results: Hb 12 g/dL; corrected serum calcium, 11 mg/dL; one lytic bone lesion; and small M-spike by SPEP, with IgG

Question

A patient suspected of multiple myeloma presents with the following results: Hb 12 g/dL; corrected serum calcium, 11 mg/dL; one lytic bone lesion; and small M-spike by SPEP, with IgG <5 g/dL; urine light chains 2 g/24 hr. Which stage in multiple myeloma is consistent with the given results?

Quizplus · Accepted Answer

The patient's presentation is consistent with low myeloma mass according to the criteria which include a hemoglobin level >10 g/dL, serum calcium normal or slightly elevated, one lytic bone lesion, small M-spike by serum protein electrophoresis (SPEP), and urine light chains <4 g/24 hr.

A Patient Suspected of Multiple Myeloma Presents with the Following