Myeloma Test Results, Updated May 9, 2014, Page 1 of 7.

Looks best in a wide browser window. For treatments and some discussion, see Treatment Table. For charts of some values see Charts.



Test

Range

Min

Range

Max

2013

1212

2014

0109

2014

0206

2014

0306

2014

0403

2014

0501

 

 

 

 

 

 

 

 

 

 

 

 

Serum Lambda FLC mg/dL (neph)

0.57

2.63

2.69

3.64

3.70

3.51

3.26

3.38

 

 

 

 

 

 

 

 

 

 

 

 

Serum Kappa FLC mg/dL (neph)

0.33

1.94

1.32

1.52

1.03

1.29

1.37

1.39

 

 

 

 

 

 

 

 

 

 

 

 

Serum K/L Ratio (neph)

0.26

1.65

0.49

0.42

0.28

0.37

0.42

0.41

 

 

 

 

 

 

 

 

 

 

 

 

Serum IgG mg/dL

750

1550

1150

1280

1260

1300

1270

1340

 

 

 

 

 

 

 

 

 

 

 

 

Serum IgA mg/dL

80

450

39

45

40

53

44

42

 

 

 

 

 

 

 

 

 

 

 

 

Serum IgM mg/dL

45

300

16

17

14

17

16

17

 

 

 

 

 

 

 

 

 

 

 

 

Bone marrow plasma cells %

0.1

1.5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Abnormal cohort in marrow %

 

0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SPEP Monoclonal Peak g/dL

 

0

1.1

1.0

0.9

1.1

1.1

1.0

 

 

 

 

 

 

 

 

 

 

 

 

Total protein g/dL

6.3

7.9

7.1

7.0

6.9

7.0

6.9

7.2

 

 

 

 

 

 

 

 

 

 

 

 

Serum B2M mg/L

0.70

1.80

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Serum ESR mm/hr

0

20

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CBC RBC red blood count M/uL

4.50

5.90

4.54

4.33

4.41

4.17

4.37

4.27

 

 

 

 

 

 

 

 

 

 

 

 

CBC HGB hemoglobin g/dL

13.5

18.0

15.8

14.9

15.3

14.8

15.2

14.8

 

 

 

 

 

 

 

 

 

 

 

 

CBC PLT platelets K/uL

130

430

166

177

170

159

191

169

 

 

 

 

 

 

 

 

 

 

 

 

CBC WBC white blood count K/uL

3.5

10.8

3.7

5.1

4.3

4.4

4.3

3.8

 

 

 

 

 

 

 

 

 

 

 

 

CBC ANC absolute neutrophils K/uL

1.7

7.0

1.43

1.7

3.1

1.9

1.9

1.9

 

 

 

 

 

 

 

 

 

 

 

 

CBC EO# absolute eosinophils K/uL

0

0.35

0.27

0.5

0.0

0.4

0.2

0.2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Chem LDH U/L

122

222

168

145

203

160

155

177

 

 

 

 

 

 

 

 

 

 

 

 

Chem ALT U/L

7.0

55.0

39

34

41

39

36

43

 

 

 

 

 

 

 

 

 

 

 

 

Chem AST U/L

15.0

48.0

33

27

37

33

32

34

 

 

 

 

 

 

 

 

 

 

 

 

Chem Albumin g/dL

3.4

5.0

3.7

3.6

3.4

3.6

3.5

3.5

 

 

 

 

 

 

 

 

 

 

 

 

Chem BUN mg/dL

7.0

18.0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Chem Calcium mg/dL

8.9

10.1

10.0

9.7

9.5

9.3

9.7

9.9

 

 

 

 

 

 

 

 

 

 

 

 

Chem Creatinine mg/dL

0.6

1.3

1.2

1.3

1.3

1.0

1.2

1.1

 

 

 

 

 

 

 

 

 

 

 

 

Chem Glucose

70

110

86

87

94

86

87

83

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TSH mIU/L

0.3

5.0

3.0

 

 

 

 

7.7

 

 

 

 

 

 

 

 

 

 

 

 


MGUS:

SPEP spike present but less than 3 mg/dL, and

Int’l myeloma staging system:

Stage I

B2M < 3.5 & albumin => 3.5

 

Bone marrow plasma cells less than 10%, and

 

Stage II

B2M < 3.5 & albumin < 3.5; or 5.5 > B2M => 3.5

 

No myeloma-related organ, tissue, or bone impairment

 

Stage III

B2M => 5.5



Myeloma Test Results, Updated May 9, 2014, Page 2 of 7.

Looks best in a wide browser window. For treatments and some discussion, see Treatment Table. For charts of some values see Charts.



Test

Range

Min

Range

Max

2012

07/26

2012

08/23

2012

09/20

2012

10/17

2012

11/15

2012

12/13

2013

01/10

2013

02/07

2013

03/07

2013

04/04

2013

05/02

2013

05/30

2013

06/27

2013

07/25

2013

08/21

2013

09/19

2013

1017

2013

1113

Serum Lambda FLC mg/dL (neph)

0.57

2.63

2.30

2.72

2.61

2.38

2.92

3.25

2.56

3.09

2.84

3.30

2.89

3.72

2.61

3.10

2.93

2.92

3.06

3.35

Serum Kappa FLC mg/dL (neph)

0.33

1.94

1.27

1.11

1.14

1.40

1.61

1.70

1.61

1.78

1.46

1.80

1.94

2.00

1.95

1.67

2.00

1.07

1.31

1.26

Serum K/L Ratio (neph)

0.26

1.65

0.55

0.41

0.44

0.59

0.55

0.52

0.63

0.58

0.51

0.55

0.67

0.54

0.75

0.54

0.68

0.37

0.43

0.83

Serum IgG mg/dL

750

1550

1090

1180

1210

1180

1270

1250

1140

1140

1290

1230

1060

1070

1300

1290

1110

1130

1210

1300

Serum IgA mg/dL

80

450

35

37

33

33

86

65

53

48

49

50

44

40

54

45

40

44

43

41

Serum IgM mg/dL

45

300

14

16

16

14

20

24

18

16

16

21

17

17

22

19

14

19

17

17

Bone marrow plasma cells %

0.1

1.5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Abnormal cohort in marrow %

 

0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SPEP Monoclonal Peak g/dL

 

0

1.0

1.0

1.0

1.0

1.2

1.1

1.1

1.0

1.1

1.1

1.1

1.0

1.0

1.1

0.9

1.0

1.1

1.0

Total protein g/dL

6.3

7.9

7.1

7.3

7.3

7.1

7.8

6.9

7.4

6.8

6.8

7.5

7.1

7.0

7.0

7.3

6.8

7.1

7.3

7.0

Serum B2M mg/L

0.70

1.80

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Serum ESR mm/hr

0

20

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CBC RBC red blood count M/uL

4.32

5.72

4.05

4.09

4.22

4.35

4.13

4.31

4.41

4.19

4.26

4.53

4.40

4.33

4.38

4.23

4.44

4.41

4.44

4.39

CBC HGB hemoglobin g/dL

13.5

18.0

14.5

14.5

15.1

15.7

14.7

15.1

15.3

14.9

14.4

15.5

14.9

14.8

15.1

14.5

15.6

15.7

15.5

15.3

CBC PLT platelets K/uL

130

430

178

195

175

189

223

288

183

227

214

----

189

188

226

187

188

189

203

192

CBC WBC white blood count K/uL

3.5

10.8

4.9

4.3

3.7

4.4

5.5

4.4

4.1

4.2

4.7

5.2

4.5

4.8

5.1

4.9

4.2

4.3

4.6

4.4

CBC ANC absolute neutrophils K/uL

1.7

7.0

2.2

1.9

1.7

1.9

3.0

2.1

1.5

1.6

2.5

2.2

1.5

2.7

2.4

2.6

2.0

1.8

1.5

1.8

CBC EO# absolute eosinophils K/uL

0

0.35

0.2

0.3

0.0

0.2

0.2

0.4

0.1

0.2

0.1

0.5

0.3

0.1

0.2

0.1

0.3

0.2

0.4

0.2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Chem LDH U/L

122

222

141

135

151

163

175

276

163

191

147

153

156

193

138

196

156

158

161

179

Chem ALT U/L

7.0

55.0

44

25

29

30

36

73

35

35

25

25

30

40

27

29

41

28

30

37

Chem AST U/L

15.0

48.0

27

26

25

28

31

85

31

39

23

26

27

35

25

34

35

25

26

26

Chem Albumin g/dL

3.4

5.0

3.9

3.9

4.0

4.0

4.0

3.5

3.9

3.9

3.7

3.9

3.9

3.7

3.8

4.1

3.7

3.8

3.9

3.7

Chem BUN mg/dL

7.0

18.0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Chem Calcium mg/dL

8.9

10.1

9.7

9.6

9.7

10.0

9.6

9.3

9.6

9.6

9.4

10.0

9.4

9.3

9.5

9.7

10.1

10.1

10.0

9.8

Chem Creatinine mg/dL

0.6

1.3

1.1

1.0

1.1

1.3

1.2

1.3

1.2

1.5

1.2

1.5

1.2

1.3

1.2

1.3

1.1

1.5

1.2

1.2

Chem Glucose

70

110

77

86

81

81

82

77

77

83

84

87

92

90

86

82

82

89

82

81

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TSH mIU/L

0.3

5.0

3.8

 

 

4.7

 

 

6.2

 

 

9.8

 

 

6.0

 

 

4.0

 

 


MGUS:

SPEP spike present but less than 3 mg/dL, and

Int’l myeloma staging system:

Stage I

B2M < 3.5 & albumin => 3.5

 

Bone marrow plasma cells less than 10%, and

 

Stage II

B2M < 3.5 & albumin < 3.5; or 5.5 > B2M => 3.5

 

No myeloma-related organ, tissue, or bone impairment

 

Stage III

B2M => 5.5



Myeloma Test Results, Updated May 9, 2014, Page 3 of 7.

Looks best in a wide browser window. For treatments and some discussion, see Treatment Table. For charts of some values see Charts.



Test

Range

Min

Range

Max

2011

03/09

2011

04/07

2011

05/05

2011

06/02

2011

06/30

2011

07/28

2011

08/25

2011

09/22

2011

10/19

2011

11/17

2011

12/14

2012

01/14

2012

02/07

2012

03/08

2012

04/04

2012

05/04

2012

05/29

2012

06/29

Serum Lambda FLC mg/dL (neph)

0.57

2.63

2.50

2.08

3.07

2.52

1.74

2.21

2.25

2.49

2.75

2.12

3.15

2.24

1.99

2.80

2.24

2.75

2.53

3.11

Serum Kappa FLC mg/dL (neph)

0.33

1.94

1.07

0.95

1.09

0.89

1.00

1.38

1.30

1.64

1.27

1.21

1.61

1.15

1.40

1.53

1.39

1.44

1.22

1.19

Serum K/L Ratio (neph)

0.26

1.65

0.43

0.46

0.36

0.35

0.57

0.62

0.58

0.66

0.46

0.57

0.51

0.51

0.70

0.55

0.62

0.52

0.48

0.38

Serum IgG mg/dL

750

1550

1050

1080

1130

1110

1070

1030

1150

1020

1310

1280

999

1190

1280

1100

1290

1210

1140

998

Serum IgA mg/dL

80

450

30

34

33

32

34

30

33

63

40

39

34

35

37

34

36

33

33

35

Serum IgM mg/dL

45

300

15

18

16

21

16

15

14

16

16

19

16

17

18

13

13

15

15

16

Bone marrow plasma cells %

0.1

1.5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Abnormal cohort in marrow %

 

0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SPEP Monoclonal Peak g/dL

 

0

1.0

1.0

1.0

1.1

1.0

1.0

1.1

1.0

1.1

1.1

1.1

1.2

1.1

1.0

1.1

1.1

1.1

1.0

Total Protein g/dL

6.3

7.9

6.8

6.9

6.8

7.3

7.2

7.2

7.3

7.1

7.2

7.3

7.0

7.4

7.4

7.3

7.1

7.2

7.4

7.1

Serum B2M mg/L

0.70

1.80

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Serum ESR mm/hr

0

20

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CBC RBC red blood count M/uL

4.32

5.72

4.40

4.27

4.11

4.13

4.28

4.17

4.08

4.09

4.07

4.18

4.17

4.36

4.18

3.86

4.08

4.31

4.37

4.15

CBC HGB hemoglobin g/dL

13.5

18.0

15.2

15.5

14.7

15.2

14.8

15.1

14.7

14.9

14.6

15.0

15.1

15.1

15.2

14.2

14.6

15.6

15.7

14.7

CBC PLT platelets K/uL

130

430

196

190

174

183

170

180

180

207

197

237

224

196

179

163

210

183

174

240

CBC WBC white blood count K/uL

3.5

10.8

5.3

4.9

4.6

4.9

3.6

5.1

3.8

6.2

4.8

5.3

4.8

4.8

4.5

3.7

6.1

5.3

4.6

4.9

CBC ANC absolute neutrophils K/uL

1.7

7.0

1.61

1.90

1.90

2.40

1.17

1.90

1.40

2.60

2.30

1.7

1.9

2.4

1.7

1.5

3.8

2.7

1.8

2.3

CBC EO# absolute eosinophils K/uL

0

0.35

0.35

0.20

0.30

0.20

0.37

0.30

0.20

0.50

0.20

0.20

0.20

0.4

0.4

0.2

0.2

0.2

0.2

0.2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Chem LDH U/L

122

222

158

145

173

157

150

162

159

164

156

150

159

146

124

163

135

132

138

198

Chem ALT U/L

7.0

55.0

34

31

38

31

35

38

38

54

51

39

38

37

33

56

24

39

30

45

Chem AST U/L

15.0

48.0

31

27

35

33

30

32

27

42

39

33

37

36

32

41

24

38

30

42

Chem Albumin g/dL

3.4

5.0

3.8

3.8

3.6

3.9

3.9

3.8

3.8

3.8

3.8

3.8

3.6

3.9

4.0

4.0

3.8

4.0

4.2

3.7

Chem BUN mg/dL

7.0

18.0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Chem Calcium mg/dL

8.9

10.1

9.6

9.9

9.4

10.4

10.0

9.8

10.5

10.0

10.0

10.3

10.3

10.0

10.2

10.3

9.6

10.0

9.7

10.2

Chem Creatinine mg/dL

0.6

1.3

1.0

1.2

1.1

1.2

1.3

1.3

1.1

0.9

1.1

1.1

1.1

1.0

1.0

1.0

1.2

1.0

1.2

1.0

Chem Glucose

70

110

82

82

75

84

82

86

85

84

83

87

82

84

89

87

86

86

84

84

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TSH mIU/L

0.3

5.0

3.5

 

 

5.2

 

 

4.2

 

 

4.1

 

 

2.5

 

 

4.8

 

 


MGUS:

SPEP spike present but less than 3 mg/dL, and

Int’l myeloma staging system:

Stage I

B2M < 3.5 & albumin => 3.5

 

Bone marrow plasma cells less than 10%, and

 

Stage II

B2M < 3.5 & albumin < 3.5; or 5.5 > B2M => 3.5

 

No myeloma-related organ, tissue, or bone impairment

 

Stage III

B2M => 5.5



Myeloma Test Results, Updated May 9, 2014, Page 4 of 7.



Test

Range

Min

Range

Max

2009

10/15

2009

11/12

2009

12/10

2010

01/07

2010

02/04

2010

03/04

2010

04/01

2010

04/29

2010

05/27

2010

06/29

2010

07/29

2010

08/24

2010

09/23

2010

10/20

2010

11/18

2010

12/16

2011

01/13

2011

02/07

Serum Lambda FLC mg/dL (neph)

0.57

2.63

2.68

2.61

2.36

2.18

2.78

2.10

1.82

2.41

2.58

1.74

1.86

2.79

2.58

2.78

2.92

2.41

2.49

2.47

Serum Kappa FLC mg/dL (neph)

0.33

1.94

0.91

1.07

0.99

0.76

0.87

1.06

0.27

1.11

1.31

1.01

1.01

1.45

1.10

1.21

1.08

1.10

1.27

1.26

Serum K/L Ratio (neph)

0.26

1.65

0.34

0.41

0.42

0.35

0.31

0.50

0.15

0.46

0.51

0.58

0.54

0.52

0.43

0.44

0.37

0.46

0.51

0.51

Serum IgG mg/dL

750

1550

1020

1100

1090

1110

1180

1130

1070

1010

1110

1120

1160

1100

1070

1130

1300

1080

1170

1200

Serum IgA mg/dL

80

450

20

26

21

20

27

27

24

21

23

26

26

29

31

26

46

37

38

33

Serum IgM mg/dL

45

300

14

15

14

14

14

14

15

14

15

16

12

18

19

19

25

18

19

19

Bone marrow plasma cells %

0.1

1.5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Abnormal cohort in marrow %

 

0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SPEP Monoclonal Peak g/dL

 

0

0.9

0.9

0.9

1.0

1.0

1.0

1.0

1.0

1.1

1.0

1.1

1.1

1.2

1.1

1.2

1.0

1.2

1.0

Serum B2M mg/L

0.70

1.80

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Serum ESR mm/hr

0

20

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CBC RBC red blood count M/uL

4.32

5.72

4.21

4.00

4.00

4.05

4.00

4.17

4.39

4.21

4.36

4.30

4.16

4.39

4.43

4.31

4.26

4.23

4.48

4.44

CBC HGB hemoglobin g/dL

13.5

18.0

15.0

14.4

14.3

14.4

14.2

14.7

14.6

14.1

14.7

14.5

14.0

15.7

15.8

14.9

15.0

14.6

15.3

16.0

CBC PLT platelets K/uL

130

430

185

188

175

186

181

170

175

168

178

200

172

199

210

166

230

202

174

171

CBC WBC white blood count K/uL

3.5

10.8

4.2

3.9

3.7

3.5

3.8

3.4

3.3

3.3

3.6

3.4

2.8

4.4

4.2

4.3

5.9

5.1

3.3

4.1

CBC ANC absolute neutrophils K/uL

1.7

7.0

1.78

1.53

1.55

1.38

1.22

1.29

0.94

0.73

0.92

1.09

0.93

1.41

1.60

2.14

2.30

2.50

1.19

1.40

CBC EO# absolute eosinophils K/uL

0

0.35

0

0

0

0

0.30

0

0.37

0.40

0.39

0.17

0.20

0.30

0.50

0.37

0.10

0.10

0.43

0.30

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Chem LDH U/L

122

222

154

146

144

145

159

157

149

147

157

156

138

134

146

167

137

139

143

119

Chem ALT U/L

7.0

55.0

33

35

34

41

38

41

112

44

34

36

37

38

38

42

35

30

32

32

Chem AST U/L

15.0

48.0

26

31

29

32

38

29

85

37

31

31

34

33

34

37

33

33

30

27

Chem Albumin g/dL

3.4

5.0

3.7

 

3.7

3.6

3.7

3.8

3.7

3.9

4.0

4.0

3.9

4.0

3.8

3.9

3.8

3.7

3.9

3.7

Chem BUN mg/dL

7.0

18.0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Chem Calcium mg/dL

8.5

10.3

10.3

9.8

10.0

9.6

9.8

10.1

9.8

9.7

9.9

9.9

9.9

10.1

10.0

10.0

10.3

9.8

10.3

10.1

Chem Creatinine mg/dL

0.6

1.3

1.0

1.0

1.1

1.1

1.1

1.0

1.2

1.3

1.3

1.2

1.0

1.3

0.9

1.0

0.9

1.0

1.4

1.0

Chem Glucose

70

110

79

79

79

80

87

74

82

87

90

95

90

83

88

89

89

79

85

90

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TSH mIU/L

0.3

5.0

4.4

 

 

3.7

 

 

3.1

 

 

2.3

 

 

2.7

 

 

2.2

 

 


MGUS:

SPEP spike present but less than 3 mg/dL, and

Int’l myeloma staging system:

Stage I

B2M < 3.5 & albumin => 3.5

 

Bone marrow plasma cells less than 10%, and

 

Stage II

B2M < 3.5 & albumin < 3.5; or 5.5 > B2M => 3.5

 

No myeloma-related organ, tissue, or bone impairment

 

Stage III

B2M => 5.5



Myeloma Test Results, Page 5 of 7



Test

Range

Min

Range

Max

2008

05/29

2008

06/26

2008

07/24

2008

08/22

2008

09/16

2008

10/16

2008

11/13

2008

12/11

2009

01/08

2009

02/05

2009

03/04

2009

04/02

2009

04/30

2009

05/28

2009

06/25

2009

07/23

2009

08/20

2009

09/17

Serum Lambda FLC mg/dL (neph)

0.57

2.63

4.25

4.03

3.30

3.57

2.64

3.14

3.25

4.03

3.31

2.78

2.64

3.04

2.55

2.60

2.63

1.95

2.07

2.54

Serum Kappa FLC mg/dL (neph)

0.33

1.94

1.07

0.88

0.97

1.02

0.91

1.16

1.19

1.84

1.32

1.05

1.10

1.14

0.91

1.01

0.96

0.95

0.96

1.09

Serum K/L Ratio (neph)

0.26

1.65

0.25

0.22

0.29

0.29

0.34

0.37

0.37

0.46

0.40

0.38

0.42

0.38

0.36

0.39

0.36

0.49

0.46

0.43

Serum IgG mg/dL

750

1550

1260

1450

1360

1040

1180

1130

1170

1260

1350

1160

923

1060

1060

1030

1010

1010

979

1070

Serum IgA mg/dL

80

450

13

13

12

12

13

15

15

45

25

17

16

18

16

19

26

26

23

25

Serum IgM mg/dL

45

300

15

14

14

12

13

14

20

23

16

16

12

14

12

13

16

19

14

15

Bone marrow plasma cells %

0.1

1.5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Abnormal cohort in marrow %

 

0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SPEP Monoclonal Peak g/dL

 

0

1.2

1.1

1.1

1.0

1.0

0.9

1.0

1.0

1.1

1.0

0.9

0.9

0.8

0.9

0.9

0.8

0.8

0.9

Urine Kappa light chains mg/dL

 

1.5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Urine Lambda light chains mg/dL

 

2.0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Serum B2M mg/L

0.70

1.80

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Serum ESR mm/hr

0

20

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CBC RBC red blood count M/uL

4.32

5.72

4.23

4.28

4.17

3.99

3.90

3.97

4.19

4.20

4.36

4.28

3.89

4.26

4.01

4.06

3.93

4.13

4.01

4.08

CBC HGB hemoglobin g/dL

13.5

18.0

14.5

14.8

14.3

13.8

13.6

13.8

14.6

14.6

15.3

14.9

13.7

14.7

14.3

14.4

14.0

14.8

14.5

14.7

CBC PLT platelets K/uL

130

430

235

222

239

212

218

219

224

248

210

213

199

214

189

192

221

196

167

193

CBC WBC white blood count K/uL

3.5

10.8

6.0

5.5

4.7

4.4

5.3

4.4

4.3

5.3

4.6

5.0

4.5

4.2

3.6

4.0

5.6

3.9

3.7

4.1

CBC ANC absolute neutrophils K/uL

1.7

7.0

2.41

1.65

2.09

1.84

2.65

1.95

1.59

2.65

2.11

2.21

1.83

1.93

1.50

1.82

2.99

1.65

1.45

1.56

CBC EO# absolute eosinophils K/uL

0

0.35

0.53

0.66

0

0.25

0

0

0.47

0

0.23

0

0

0

0

0

0

0.01

0

0.53

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Chem LDH U/L

140

271

139

162

136

 

 

 

 

 

 

162

135

144

143

130

168

133

168

144

Chem ALT U/L

7.0

55.0

37

40

29

36

30

40

32

87

46

40

44

40

60

35

50

35

46

39

Chem AST U/L

15.0

48.0

25

27

23

29

25

27

24

69

41

33

32

26

35

23

30

27

35

28

Chem Albumin g/dL

3.4

5.0

3.2

 

4.2

3.4

3.4

3.4

3.4

3.6

3.7

3.7

3.2

3.5

3.5

3.4

3.3

3.4

3.5

3.5

Chem BUN mg/dL

7.0

18.0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Chem Calcium mg/dL

8.5

10.3

9.7

10.1

9.7

9.3

9.7

9.6

9.8

10.1

9.9

9.7

9.7

9.5

9.6

10.0

9.6

9.7

10.0

9.9

Chem Creatinine mg/dL

0.6

1.3

1.1

1.0

1.0

1.3

1.0

1.1

0.9

1.0

1.1

1.0

1.0

1.0

0.9

1.0

1.0

1.1

1.0

1.1

Chem Glucose

70

110

82

87

94

83

89

83

83

73

88

84

91

87

84

86

80

80

78

88

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TSH mIU/L

0.3

5.0

 

5.4

 

 

 

 

 

 

 

5.4

 

 

2.0

 

 

4.0

 

 


MGUS:

SPEP spike present but less than 3 mg/dL, and

Int’l myeloma staging system:

Stage I

B2M < 3.5 & albumin => 3.5

 

Bone marrow plasma cells less than 10%, and

 

Stage II

B2M < 3.5 & albumin < 3.5; or 5.5 > B2M => 3.5

 

No myeloma-related organ, tissue, or bone impairment

 

Stage III

B2M => 5.5



Myeloma Test Results, Page 6 of 7



Test

Range

Min

Range

Max

2006

2/24

2006

6/02

2006

6/26

2006

9/01

2006

12/04

2007

1/11

2007

2/22

2007

3/08

2007

3/28

2007

4/26

2007

6/27

2007

8/02

2007

9/06

2007

10/17

2007

12/26

2008

03/07

2008

04/03

2008

05/01

Serum Lambda FLC mg/dL (neph)

0.57

2.63

3.79

2.35

4.10

4.57

 

4.46

4.79

 

4.34

3.71

4.17

 

3.65

3.63

4.67

5.88

5.70

4.41

Serum Kappa FLC mg/dL (neph)

0.33

1.94

0.17

1.32

0.17

0.20

 

0.97

0.70

 

0.72

0.59

0.03

 

0.17

0.17

0.18

0.14

0.98

0.75

Serum K/L Ratio (neph)

0.26

1.65

0.05

0.56

0.04

0.04

 

0.22

0.15

 

0.16

0.16

0.01

 

0.05

0.05

0.04

0.02

0.17

0.17

Serum Lambda LC mg/dL (ifix)

325

725

 

 

 

 

3310

3250

2710

 

3010

2970

3350

 

3530

3130

3720

 

 

 

Serum Kappa LC mg/dL (ifix)

625

1350

 

 

 

 

78

72

73

 

72

72

74

 

69

62

68

 

 

 

Serum K/L Ratio (ifix)

1.47

2.95

 

 

 

 

0.02

0.02

0.03

 

0.02

0.02

0.02

 

0.02

0.02

0.02

 

 

 

Serum IgG mg/dL

750

1550

1593

1881

2100

1936

2050

2200

2320

 

2430

2560

2730

 

3110

2690

3000

2960

2230

1610

Serum IgA mg/dL

80

450

27

20

 

20

22

22

23

 

20

19

19

 

19

16

16

15

12

13

Serum IgM mg/dL

45

300

12

21

 

20

23

21

19

 

23

22

22

 

20

19

19

15

16

13

Bone marrow plasma cells %

0.1

1.5

 

 

 

 

 

 

 

6.8%

 

 

 

 

 

 

 

5-10%

 

 

Abnormal cohort in marrow %

 

0

 

 

 

 

 

 

 

4.0

 

 

 

 

 

 

 

 

 

 

SPEP Monoclonal Peak g/dL

 

0

1.2

1.4

 

1.2

1.57

1.75

1.32

 

1.70

1.75

1.96

 

1.90

1.85

2.05

2.70

1.90

1.40

Urine Kappa light chains mg/dL

 

1.5

0.0

29.1

0.0

0.0

0.0

 

1.6

 

0.0

 

0.0

 

0.0

0.0

0.0

 

 

 

Urine Lambda light chains mg/dL

 

2.0

0.0

469.0

0.0

0.0

0.0

 

0.0

 

0.0

 

0.4

 

0.0

0.0

0.57

 

 

 

Serum B2M mg/L

0.70

1.80

1.51

1.58

1.55

1.57

1.72

 

1.98

 

2.03

2.04

 

 

 

 

 

1.89

 

 

Serum ESR mm/hr

0

20

 

 

10

 

 

13

21

 

10

15

 

 

 

15

27

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CBC RBC red blood count M/uL

4.50

5.70

4.70

4.96

 

4.49

4.61

4.67

4.66

4.42

4.55

4.60

 

 

4.56

4.24

4.44

4.62

4.42

3.95

CBC HGB hemoglobin g/dL

13.5

18.0

14.9

16.0

 

14.9

15.1

15.6

15.0

14.2

14.9

15.1

 

 

15.1

13.9

14.4

15.4

15.1

13.5

CBC PLT platelets K/uL

130

430

170

190

 

164

193

227

234

200

184

193

 

 

185

180

188

211

303

243

CBC WBC white blood count K/uL

3.5

10.8

4.2

5.1

 

3.7

4.4

4.9

4.7

5.0

4.3

4.4

 

 

5.6

4.2

3.9

5.6

7.7

6.0

CBC EO# absolute eosinophils K/uL

0

0.5

0.3

0.3

 

0.4

 

0.4

0.4

 

0.5

0.4

 

 

0.3

0.3

0.2

0.17

0.17

0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Chem LDH U/L

140

271

173

252

 

324

183

189

233

 

183

202

190

 

182

226

188

186

158

131

Chem ALT U/L

7.0

52.0

 

36

 

28

25

26

33

 

22

24

27

22

27

35

20

45

44

32

Chem AST U/L

15.0

37.0

 

38

 

33

30

29

38

 

25

31

28

31

29

41

30

38

32

23

Chem Albumin g/dL

3.4

5.0

4.1

4.5

 

4.3

4.5

4.3

3.9

 

4.0

4.5

4.3

4.3

4.4

4.1

4.2

4.5

3.4

3.2

Chem BUN mg/dL

7.0

18.0

 

23

 

22

21

24

18

 

20

21

26

17

22

18

15

 

 

 

Chem Calcium mg/dL

8.5

10.3

 

9.7

 

9.3

9.5

9.2

9.9

 

9.4

10.2

10.0

10.2

10.4

9.7

10.0

10.2

9.9

9.6

Chem Creatinine mg/dL

0.6

1.3

 

1.1

 

1.1

1.3

1.1

1.1

 

1.1

1.1

1.1

1.1

1.2

1.0

1.0

0.9

1.0

1.1

Chem Glucose

70

110

 

65

 

61

94

63

73

 

65

56

97

97

118

80

68

91

89

88


MGUS:

SPEP spike present but less than 3 mg/dL, and

Int’l myeloma staging system:

Stage I

B2M < 3.5 & albumin => 3.5

 

Bone marrow plasma cells less than 10%, and

 

Stage II

B2M < 3.5 & albumin < 3.5; or 5.5 > B2M => 3.5

 

No myeloma-related organ, tissue, or bone impairment

 

Stage III

B2M => 5.5

 

 

 

 

 



Myeloma Test Results, Page 7 of 7



Test

Range

Min

Range

Max

2003

4/01

2003

7/02

2003

8/01

2003

8/07

2003

10/09

2003

12/12

2004

1/12

2004

2/16

2004

4/06

2004

5/06

2004

6/08

2004

8/10

2004

11/05

2005

2/07

2005

5/10

2005

8/10

2005

8/19

2005

11/23

Serum Lambda FLC mg/dL (neph)

0.57

2.63

 

 

 

 

5.21

6.41

4.47

3.88

2.99

 

4.40

4.07

3.07

3.20

3.27

 

 

3.26

Serum Kappa FLC mg/dL (neph)

0.33

1.94

 

 

 

 

0.13

0.21

0.77

0.90

0.24

 

0.20

0.17

0.03

0.03

0.16

 

 

0.20

Serum K/L Ratio (neph)

0.26

1.65

 

 

 

 

0.02

0.03

0.17

0.23

0.08

 

0.04

0.04

0.01

0.01

0.05

 

 

0.06

Serum Lambda LC mg/dL (ifix)

325

725

 

1930

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Serum Kappa LC mg/dL (ifix)

625

1360

 

 101

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Serum Kappa/Lambda Ratio (ifix)

1.47

2.95

 

0.05

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Serum IgG mg/dL

700

1700

 

1260

 

 

1277

1302

1437

 

 

 

1305

 

1508

 

1706

1715

 

1511

Serum IgA mg/dL

65

400

 

21

 

 

75

68

 

 

 

 

80

 

24

24

34

25

 

23

Serum IgM mg/dL

60

280

 

17

 

 

< 25

< 25

 

 

 

 

28

 

21

26

14

28

 

20

Bone marrow plasma cells %

0.1

1.5

 

 

9.8

 

 

 

 

 

 

 

 

 

 

 

 

 

8.2

 

Abnormal cohort in marrow %

 

0

 

 

<1.0

 

 

 

 

 

 

 

 

 

 

 

 

 

2.0

 

SPEP Monoclonal Peak g/dL

 

0

 

0.52

 

 

 

 

 

 

 

 

 

 

 

 

 

1.1

 

1.1

Urine light chains mg/dL

 

 

 

0

 

 

0

 

0

0

0

 

0

0

0

0

0

0

 

0

Serum B2M mg/L

0.70

1.80

 

 

 

1.45

 

1.46

 

 

 

 

 

 

 

 

1.48

1.86

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CBC RBC red blood count M/uL

4.50

5.70

 

4.64

4.50

4.48

4.53

 

4.60

4.66

4.60

 

4.48

4.58

4.76

4.78

4.77

4.78

4.56

4.53

CBC HGB hemoglobin g/dL

13.5

18.0

 

15.3

14.6

14.5

14.7

 

15.0

15.5

14.9

 

14.4

14.9

15.4

15.6

15.6

15.5

14.9

14.7

CBC PLT platelets K/uL

130

430

 

189

178

176

181

 

203

205

187

 

182

175

165

172

184

166

174

172

CBC WBC white blood count K/uL

3.5

10.8

 

9.4

5.0

5.0

4.3

 

4.9

4.7

3.5

 

9.6

9.3

3.7

5.4

4.6

5.6

5.1

4.4

CBC EO# absolute eosinophils K/uL

0

0.5

 

 

 

0.4

0.3

 

0.5

0.6

0.3

 

0.2

0.1

0.4

0.4