My mother is around 60 years old and was started multiple myeloma treatment at around four and a half months ago, with bortezomib (Velcade) injection, dexamethasone, and thalidomide. Now today we received the following result:
Kappa and Lambda Freelite Serum:
Free Kappa (Light Chain), Serum - 15.5
Free Lambda (Light Chain), Serum – 5.74
Free Kappa/Lambda Ratio – 2.70
Beta-2 Microglobulin – 1458.00
IgG Total – 583.00
IgA Total – 32.00
IgM Total – 22.00
Immunofixation – Qualitative, Serum
IgG - Absent
IgM – Absent
IGA- Absent
Kappa – Absent
Lambda – Absent
M-Band – Absent
Impression – No Monoclonal Gammopathy Seen
Serum, Protein Electrophoresis
Total Protein – 6.39
Serum Albumin – 4.63
Alpha 1 Globulin – 0.24
Alpha 2 Globulin – 0.80
Beta 1 Globulin – 0.30
Beta 2 Globulin – 0.10
Gama Globulin – 0.32
Albumin, Globulin ratio – 2.64
“M” Band – Absent
Comment: Monoclonal band not seen, however hypogammaglobulnemia is noticed
Overall symptoms, not much seen except some frequent cold and cough.
In this condition, should my mother have the bone marrow transplant?
Thanks.
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