Friday, September 2, 2022

Smoldering myeloma

Smoldering myeloma work up

Blood Aug 2022


Baseline tests:

CBC, B12, folate, iron studies

Creatinine, calcium, ALKP

UPEP, SPEP, IFE, FLC

NT-pro BNP

PET CT or whole body low dose CT or MRI spine and pelvis


Repeat in 3-6 months: creatinine, Calcium, CBC, SPEP IFE, FLC

Anemia labs if Hb drops

24 hr urinary protein, NT BNP every 12 months

Imaging and bmbx when progression suspected

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