Understanding Your Multiple Myeloma Lab Tests

This lab tracker booklet explains common Tests for patients with Multiple Myeloma . If you have any questions about your test results, discuss them with your healthcare YOUR Multiple Myeloma LAB Tests 2 Reference rangesMark the test values in the column below each dateCOMPLETE BLOOD COUNT (CBC)1,2 Pages 4-5 White blood cells (WBCs) 2 109/L 2 109/L Red blood cells (RBCs)Males: 2 1012/LFemales: 2 1012/L HematocritMales: : Hemoglobin (Hgb)Males: g/dLFemales: g/dL Platelets150-450 2 109/LCHEMISTRY PROFILE3 8 Pages 6-8 Blood urea nitrogen (BUN), serum7-20 mg/dL Creatinine, serumMales: mg/dLFemales: mg/dL Calcium, total, mg/dL Glucose, serum (fasting) 126 mg/dL Protein, total, g/dL Beta2-microglobulin (B2M), mcg/mLSERUM PROTEIN ELECTROPHORESIS (SPEP)9 Pages 8-9 M spike ( Myeloma gamma globulin)Any M spike presence may be abnormalThis worksheet can serve as a personal record of your lab test results.

In multiple myeloma, one plasma cell goes bad and makes multiple copies of itself (clones). Each copy makes the same antibody protein or M spike. SPEP is used to separate and identify the presence and levels of M protein in the blood. Each type of plasma cell produces only 1 type of immunoglobulin. Beta2-microglobulin (B2M), serum 8

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