[Curticekid]

New to the forum, first quesiton

by Curticekid on Thu Jan 17, 2013 12:53 pm

I am a 63 year old female who was diagnosed in 2009. I was given one week to live. I'm still here today after undergoing an auto stem cell transplant in 2011, I am in total remission; however, my kappa/lambda ratio is high. My last kappa was 7.94, lambda was 0.32 with a ratio of 24.81. My type of myeloma is igA kappa. Has anyone had experience with the type of ratio? I fear the myeloma is becoming active again.

[Ron Harvot]

Re: New to the forum, first quesiton

by Ron Harvot on Wed Jan 23, 2013 5:53 pm

I would ask your oncologist about this.
The ratio is very high only because the Lambda reading is way below normal. The Kappa reading is in the normal range and that is what you indicated was the driver of your multiple myeloma.
What you need to ask your oncologist would be about what is causing the Lambda reading to be so low. I would be interested in what he has to say.

Ron

[Ronald]

Re: New to the forum, first quesiton

by Ronald on Wed Jan 23, 2013 6:14 pm

I'm assuming your values are measured in mg/dL as opposed to mg/L? The kappa/lambda numbers are typically measured in mg/L but you can simply multiple the mg/dL numbers by 10 to convert to the more commonly used mg/L reading.

Regardless, even a Lambda reading of 3.2 would be lower than normal. I agree with Ron in that you should ask your oncologist about this.