Recurrent Plasmacytomas after Allografting in a Patient with Multiple Myeloma

Table 1

Summary of laboratory tests^a,b.

Date	Hb^c	Ca	BUN	Cr	BMG	IF-Serum^c	IF-Urine^d	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.