Patient replied :
IT also stated that "An apparent polyclonal gammopathy: IgM. Kappa and lambda typing appear increased. "- what does this mean?
Thanks so much.
Thank you for your query at DoctorSpring.com
I understand your concern and sincerely apologize for the delay in reply.
The symptoms you had are suggestive of a vitamin deficiency. You need to get your vitamin b12 levels evaluated.
Now regarding the IGM kappa lambda typing levels, these are precursors of multiple myeloma, a form of blood cancer. It is important you get a serum electrophoresis done, to check for monoclonal proteins in the serum. This is very important to establish the diagnosis.
I will advise you to meet a hematologist and follow-up with the electrophoresis reports.
Please feel free to discuss further,
Dr. Sudhir Kumar
Patient replied :
Hello, I met with a hematologist today after speaking with my primary care physician- she said it was just to be on the safe side. Hematologist said absolutely no cancer because no monoclonal gamathopothy. He tested my hemmoglobin which was fine. He said he is doing a workup just to be on the safe side but feels very strongly there is no cancer here. He didn't say anything about the kapp and lambda typing levels (He did see the report.) Would he had told me if I had a precursor to blood cancer? He made it seems as if he really thought I am in the clear. I have a follow up with him in 10 days. Can you have kappa and lamdda typing levels elevated and everything skill be okay?
THanks so much.
Thank you for the follow-up.
That is indeed a great news, that your hematologist thinks there are no evidences of cancer.
Yes, not all kappa lambda elevations point towards cancer, more specifically Multiple Myeloma.
You can still discuss and opt for serum electrophoresis, to be absolutely sure.
Hope this was helpful,