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Labs 11/10/22

Here are my latest labs. Light Chains are down a bit, which was nice to see. The Dr. still wanted to changed drugs though. Seems like they are trying to rush me to a bone marrow transplant. I guess we will see how fast the new drugs punch things down. I also had a bone marrow biopsy. I posted the Fish test results from that, although nothing changed.

Name Standard range9/15/2210/13/2211/10/22
KAPP/LAMB FR 0.26 – 1.650.070.060.06
KAPPA LIGHT CHAIN FREE 3.30 – 19.40 mg/L7.666.736.18
LAMBDA LIGHT CHAIN FREE, SERPL 5.71 – 26.30 mg/L110.37118.37102.87

Name Standard range9/15/2210/13/2211/10/22
BASOS % AUTO %111
BASOS ABS AUTO 0.0 – 0.1 K/uL0.00.00.0
EOS % AUTO %242
EOS ABS AUTO 0.0 – 0.4 K/uL0.10.20.1
IMMAT GRANS ABS AUTO 0.0 – 0.1 K/uL0.00.00.0
IMMAT GRANULO % AUTO %000
LYMPHS % AUTO %423940
LYMPHS ABS AUTO 0.9 – 3.2 K/uL1.72.12.1
MONOS % AUTO %151413
MONOS ABS AUTO 0.3 – 0.9 K/uL0.60.70.7
NEUTROPHILS % AUTO %394244
NEUTROPHILS ABS AUTO 1.8 – 7.9 K/uL1.52.22.3
Name Standard range9/15/2210/13/2211/10/22
HCT 39.0 – 51.0 %38.638.537.2
HGB 13.0 – 17.0 g/dL13.613.613.5
MCV 80 – 100 fL929187
NRBC <=0 /100WC000
PLT 140 – 400 K/uL132123121
RBC’S 4.10 – 5.70 M/uL4.204.244.26
RDW, RBC 12.0 – 16.5 %13.313.614.1
WBC 3.7 – 11.1 K/uL3.95.35.3
Name Standard range9/15/2210/13/2211/10/2211/10/22
ALB 3.8 – 5.0 g/dL4.14.14.3 
ALPHA 1 GLOB EP 0.2 – 0.4 g/dL0.30.30.3 
ALPHA 2 GLOB EP 0.5 – 1.0 g/dL0.40.50.5 
BETA GLOB EP 0.6 – 1.2 g/dL0.60.60.6 
GAMMA GLOB EP 0.7 – 1.8 g/dL1.01.11.2 
TP 6.0 – 7.7 g/dL  6.86.8
Name Standard range9/15/2210/13/2211/10/22
M-BAND-1 <=0.0 g/dL0.91.01.0

Fish Test INTERPRETATION 11/7/22 (Nothing Changed)
This analysis showed signal patterns consistent with:

  • 1q21 (CKS1B) gain (3-4 copies total) in 37/100 (37.0 percent)
    cells scored.
  • IGH-MAF fusion due to translocation (14;16) (q32;q23) and loss
    of a derivative chromosome in 37/100 (37.0 percent) cells scored.

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