Case Report
Recurrent Plasmacytomas after Allografting in a Patient with Multiple Myeloma
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 |
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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.
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