家里76岁的老人（女），最近血检时发现贫血，医生要她做了一系列的检查（全身X光，24小时尿样，血检，bone marrow biopsy), 最后得出的结论是，她有多发性骨髓瘤 （Multiple myeloma not having achieved remission (HCC) ）。据说这个病有三个阶段，她属于第二阶段. 老人目前什么症状都没有。
我在网上查了下，好像这是种很罕见的疾病，十万人中才有1-2例。我把检查结果中不正常的指标都存在一个文件中，想请懂行的医生朋友帮我看看，这个情况严不严重？全家人都很担心。万分感谢！
IMMUNOGLOBULINS IGG IGA IGM - Details
|
Component |
Your Value |
Standard Range |
Flag |
|---|---|---|---|
|
Total IgG |
391.0 mg/dL |
700 - 1,600 mg/dL |
A |
|
IgA |
4,061.2 mg/dL |
70 - 400 mg/dL |
A |
|
IgM |
<20.0 mg/dL |
40 - 230 mg/dL |
A |
|
Component |
Your Value |
Standard Range |
Flag |
|---|---|---|---|
|
WBC |
4.2 K/uL |
4.0 - 10.5 K/uL |
|
|
RBC |
3.03 M/uL |
3.86 - 5.17 M/uL |
A |
|
HGB |
10.4 g/dL |
12.1 - 15.8 g/dL |
A |
|
HCT |
31.4 % |
35.8 - 46.5 % |
A |
|
MCV |
103.5 fl |
85.0 - 99.0 fl |
A |
|
MCH |
34.3 pg |
28.4 - 33.4 pg |
A |
|
MCHC |
33.2 g/dL |
31.1 - 37.0 g/dL |
|
|
RDW |
15.3 % |
11.7 - 15.2 % |
A |
|
Platelet count |
128 K/uL |
154 - 393 K/uL |
A |
CBC WITH DIFFERENTIAL – Details April 4, 2022
|
Component |
Your Value |
Standard Range |
Flag |
|---|---|---|---|
|
WBC |
2.9 K/uL |
4.0 - 10.5 K/uL |
A |
|
RBC |
3.15 M/uL |
3.86 - 5.17 M/uL |
A |
|
HGB |
10.6 g/dL |
12.1 - 15.8 g/dL |
A |
|
HCT |
32.3 % |
35.8 - 46.5 % |
A |
|
MCV |
102.7 fl |
85.0 - 99.0 fl |
A |
|
MCH |
33.8 pg |
28.4 - 33.4 pg |
A |
|
MCHC |
32.9 g/dL |
31.1 - 37.0 g/dL |
|
|
RDW |
14.7 % |
11.7 - 15.2 % |
|
|
Platelet count |
136 K/uL |
154 - 393 K/uL |
A |
|
Neutrophils % |
40.5 % |
% |
|
|
Lymphocytes % |
49.5 % |
% |
|
|
Monocytes % |
7.6 % |
% |
|
|
Eosinophils % |
1.5 % |
% |
|
|
Basophils % |
0.9 % |
% |
|
|
Neutrophils Absolute |
1.2 K/uL |
2.0 - 7.3 K/uL |
A |
|
Lymphocytes Absolute |
1.4 K/uL |
0.8 - 3.6 K/uL |
|
|
Monocytes Absolute |
0.2 K/uL |
0.3 - 0.9 K/uL |
A |
IMMUNOGLOBULIN FREE LT CHAINS BLOOD – Details
|
Component |
Your Value |
Standard Range |
Flag |
|---|---|---|---|
|
Free Kappa Light |
6.0 mg/L |
3.3 - 19.4 mg/L |
|
|
Free Lambda Light |
188.6 mg/L |
5.7 - 26.3 mg/L |
H |
|
Kappa/Lambda Ratio, S |
0.03 |
0.26 - 1.65 |
L |
PROTEIN ELECTROPHORESIS SERUM – Details
|
Component |
Your Value |
Standard Range |
Flag |
|---|---|---|---|
|
Alpha 1 |
0.20 g/dL |
0.10 - 0.40 g/dL |
|
|
Alpha 2 |
0.47 g/dL |
0.40 - 1.00 g/dL |
|
|
Beta |
3.69 g/dL |
0.40 - 1.00 g/dL |
A |
|
Gamma |
0.42 g/dL |
0.40 - 1.50 g/dL |
|
|
Albumin, Electrophoresis |
3.7 g/dL |
3.4-5.0 g/dL g/dL |
|
|
Protein, Electrophoresis Serum |
8.5 g/dL |
6.4 - 8.2 g/dL |
A |
HAPTOGLOBIN – Details
|
Component |
Your Value |
Standard Range |
Flag |
|---|---|---|---|
|
Haptoglobin |
36 mg/dL |
44 - 215 mg/dL |
A |
IRON STUDIES (TIBC) – Details
|
Component |
Your Value |
Standard Range |
Flag |
|---|---|---|---|
|
Iron |
68 ug/dL |
50 - 170 ug/dL |
|
|
Iron Saturation |
27 % |
20 - 40 % |
|
|
UIBC |
181 ug/dL |
155 - 355 ug/dL |
|
|
TIBC |
249 ug/dL |
250 - 450 ug/dL |
A |
ERYTHROPOIETIN (EPO) – Details
|
Component |
Your Value |
Standard Range |
Flag |
|---|---|---|---|
|
Erythropoietin |
96.3 mIU/mL |
2.6 - 18.5 mIU/mL |
H |
B12, FOLATE – Details
|
Component |
Your Value |
Standard Range |
Flag |
|---|---|---|---|
|
Vitamin B-12 |
396 pg/mL |
180 - 914 pg/mL |
|
|
Folate |
40.00 ng/mL |
5.90 - 24.80 ng/mL |
A |
BETA 2 MICROGLOBULIN SERUM – Details, March 31, 2022
|
Component |
Your Value |
Standard Range |
Flag |
|---|---|---|---|
|
Beta-2 Microglobulin |
2.7 mg/L |
0.6 - 2.4 mg/L |
H |
BETA 2 MICROGLOBULIN SERUM – Details, April 18, 2022
|
Component |
Your Value |
Standard Range |
Flag |
|---|---|---|---|
|
Beta-2 Microglobulin |
2.5 mg/L |
0.6 - 2.4 mg/L |
H |
PROTIME-INR – Details
PLEASE NOTE: NEW REFERENCE RANGE EFFECTIVE 2/25/2022.
Condition and INR Therapeutic Range:
Deep venous thrombosis 2.0-3.0
Pulmonary embolism 2.0-3.0
Acute myocardial infarction 2.0-3.0
Atrial fibrillation 2.0-3.0
Antiphospholipid syndrome (no other risk factors) 2.0-3.0
Antiphospholipid syndrome with recurrent thromboembolism 2.5-3.0
Bioprosthetic (tissue) valve 2.0-3.0
Mechanical prosthetic valves 2.0-3.0 or 2.5-3.5 depending on valve type and location
|
Component |
Your Value |
Standard Range |
Flag |
|---|---|---|---|
|
Protime |
12.9 Seconds |
10.0 - 12.8 Seconds |
A |
|
INR |
1.1 |
0.9 - 1.1 |
|
FREE KAPPA AND LAMBDA LIGHT CHAINS PLUS RATIO, QUANTITATIVE, URINE – Details
|
Component |
Your Value |
Standard Range |
Flag |
|---|---|---|---|
|
Free Kappa Lt Chains,Ur |
10.90 mg/L |
1.17 - 86.46 mg/L |
|
|
Free Lambda Lt Chains,Ur |
7.06 mg/L |
0.27 - 15.21 mg/L |
|
|
Kappa/Lambda Ratio,U |
1.54 |
1.83 - 14.26 |
L |