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Case Report
Copyright: ©Author(s) 2026.
World J Clin Cases. Oct 26, 2026; 14(28): 127546
Published online Oct 26, 2026. doi: 10.12998/wjcc.127546
Table 2 Workup for plasma cell dyscrasia
Parameters
Patient value
Reference range
M-Spike2.27 g/dL (27.8%) (present)Present/absent
Serum free kappa light chain (mg/L)16.143.3-19.4
Serum free lambda light chain (mg/L)752.405.7-26.3
Free κ/λ ratio0.020.26-1.65
Urine Bence Jones proteinNegativeNegative
Spot protein creatinine ratio100< 150 mg/g
Whole body PET-CTDiffuse circumferential esophageal wall thickening (up to 7 mm) without significant FDG uptake, no hypermetabolic lesions seen elsewhere


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