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General questions and discussion about multiple myeloma (i.e., symptoms, lab results, news, etc.) If unsure where to post, use this discussion area.

Re: Kappa & lambda FLCs significantly elevated, but ratio ok

by Multibilly on Thu Jan 15, 2015 10:30 am

Yippee!

Multibilly
Name: Multibilly
Who do you know with myeloma?: Me
When were you/they diagnosed?: Smoldering, Nov, 2012

Re: Kappa & lambda FLCs significantly elevated, but ratio ok

by DWH on Tue Feb 12, 2019 12:52 pm

Both kappa free light chains and lambda free light chains have risen, yet kappa / lambda free light chains ratio is normal. Does this mean I am relapsing? I have been in CR since August 2015.

DWH
Name: Doug
Who do you know with myeloma?: Myself
When were you/they diagnosed?: December 29, 2014
Age at diagnosis: 66

Re: Kappa & lambda FLCs significantly elevated, but ratio ok

by Ron Harvot on Tue Feb 12, 2019 3:56 pm

A couple of questions.

First,when you were first diagnosed, were both chains high or was only one? It's rare, but there have been instances of myeloma consisting of polyclonal immunoglobulins.

Second, has this result happened more than once or is it a one off You really need a series of tests to tell if a trend has developed. A single test can have anomalies.

Finally, have you had an increase in your creatinine levels going out of range. Sometimes when both chains rise but the ratio stays the same it points to renal impairment. However, I again want to emphasize needing a series of tests to point to a trend.

Ron Harvot
Name: Ron Harvot
Who do you know with myeloma?: Myself
When were you/they diagnosed?: Feb 2009
Age at diagnosis: 56

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