Table 1: Summary of laboratory testsa,b.

Date Hbc Ca BUN Cr BMG IF-Serumc IF-Urined Remarks June 1998 Diagnosis 4.9 9.1 10 0.7 3.9 Monoclonal λ Monoclonal λ Urine protein = 17.9 g/24 hrs, 85% free λchains December 1998                  Allogeneic Stem Cell Transplantation                 December 1999 11.8 9.4 11 0.6 2.1 Normal Normal Urine protein = 0.2 g/24 hrs December 2000 14.0 9.6 13 0.7 1.3 Normal Normal Urine protein too low for quantification December 2001  Mammogram: No evidence of malignancy 14.0 10 14 0.6 1.3 Normal Normal Urine protein too low for quantification June 2009  Right breast plasmacytoma (λ): surgery plus radiation 14.0 10.3 17 0.6 1.6 Normal Normal Urine protein too low for quantification July 2011  Right atrium plasmacytoma (λ) 14.1 9.8 14 0.6   Normal Normal 17 mg/dL urinary protein (random) October 2012 13.8 9.9 16 0.7 n.d. n.d. n.d. Urine protein too low for quantification

aSerum reference values (abbreviations): hemoglobin (Hb) = 12–15 g/dL, calcium (CA) = 8.2–10.2 mg/dL, urea (BUN) = 7–22 mg/dL, creatinine (Cr) = 0.2–1.3 mg/dL, beta-2 microglobulin (BMG) = 0.7–3.4 mg/dL, burine reference values: 24 hours rotein = less than 0.15 g/24 hrs, random protein = not established, cIF-Serum: serum immunofixation, dIF-urine: urine immunofixation; n.d.: not done.