Malignant Hematology E-Consults
Patients with plasma cell diseases should be managed as indicated below.
Likely low-risk monoclonal gammopathy of uncertain significance:
- Patients within the UNC system with small M-spikes (non-IgM and <1.5 g/dL), normal or mildly abnormal serum free light chain ratios (<10 and >0.1), and no clinical signs or symptoms to suggest an active plasma cell disorder such as multiple myeloma or amyloidosis, should be referred as an e-consult to malignant hematology.