Labs 2/3/23

Here is my latest set. Not a whole lot changed. My light chains are now both low. I guess the drugs are really hammering them. M-band is too low to quantify. Some of the CBC’s are up and the others a down a bit.

I had another bone marrow biopsy as well. Results showed the myeloma is under 1%. Previous test showed 20%, so that was a huge drop in 3 months. They ran another fish genetics test as well for some reason. That came back normal, I do have the 1q gain and the 14:16 myeloma genetics, that show up when there is enough myeloma.

Name Standard range	12/9/22	1/6/23	2/3/23
KAPP/LAMB FR 0.26 – 1.65	0.29	0.39	0.73
KAPPA LIGHT CHAIN FREE 3.30 – 19.40 mg/L	3.55	2.25	2.14
LAMBDA LIGHT CHAIN FREE, SERPL 5.71 – 26.30 mg/L	12.07	5.82	2.92

Component	Your value	Standard range
Creatinine	0.72 mg/dL	<=1.34 mg/dL
Estimated Glomerular Filtration Rate	>60 mL/min/1.73 m2	=60 mL/min/1.73 m2

Component	Your value	Standard range
Bilirubin, total	1.0 mg/dL	0.2 – 1.2 mg/dL

Component	Your value	Standard range
ALT	16 U/L	0 to 47 U/L0 – 47 U/L

Name Standard range	12/9/22	1/6/23	2/3/23
HCT 39.0 – 51.0 %	35.8	34.9	35.1
HGB 13.0 – 17.0 g/dL	13.2	12.4	12.4
MCV 80 – 100 fL	89	94	97
NRBC <=0 /100WC	0	0	0
PLT 140 – 400 K/uL	177	177	184
RBC’S 4.10 – 5.70 M/uL	4.02	3.72	3.63
RDW, RBC 12.0 – 16.5 %	14.9	15.2	13.8
WBC 3.7 – 11.1 K/uL	4.4	4.7	5.5

Name Standard range	12/9/22	1/6/23	2/3/23
BASOS % AUTO %	0	0	0
BASOS ABS AUTO 0.0 – 0.1 K/uL	0.0	0.0	0.0
EOS % AUTO %	1	2	4
EOS ABS AUTO 0.0 – 0.4 K/uL	0.0	0.1	0.2
IMMAT GRANS ABS AUTO 0.0 – 0.1 K/uL	0.0	0.0	0.0
IMMAT GRANULO % AUTO %	0	0	0
LYMPHS % AUTO %	25	28	28
LYMPHS ABS AUTO 0.9 – 3.2 K/uL	1.1	1.3	1.5
MONOS % AUTO %	14	12	12
MONOS ABS AUTO 0.3 – 0.9 K/uL	0.6	0.6	0.6
NEUTROPHILS % AUTO %	61	58	56
NEUTROPHILS ABS AUTO 1.8 – 7.9 K/uL	2.7	2.8	3.1

Name Standard range	12/9/22	1/6/23	2/3/23	2/3/23
ALB 3.8 – 5.0 g/dL	4.3	4.2	4.5
ALPHA 1 GLOB EP 0.2 – 0.4 g/dL	0.3	0.3	0.3
ALPHA 2 GLOB EP 0.5 – 1.0 g/dL	0.4	0.4	0.5
BETA GLOB EP 0.6 – 1.2 g/dL	0.6	0.6	0.6
GAMMA GLOB EP 0.7 – 1.8 g/dL	0.6	0.4	0.4
TP 6.0 – 7.7 g/dL			6.2	6.2

Name Standard range	12/9/22	1/6/23	2/3/23
M-BAND-1 <=0.0 g/dL	0.4	SEE ABN	SEE ABN
SPEP INTERPRETATION	SEE ABN	SEE ABN	SEE ABN

RESULT
Normal FISH Result

1q (CKS1B) Gain: not detected
t(4;14) (IGH-FGFR3) Fusion: not detected
9p (JAK2) Gain: not detected
11q (CCND1) Gain: not detected
t(11;14) (IGH-CCND1) Fusion: not detected
t(14;16) (IGH-MAF) Fusion: not detected
t(14;20) (IGH-MAFB) Fusion: not detected
17p (TP53) Deletion: not detected