A patient presents with bone pain. X ray reveals destructive lesions. Lab investigations show shypercalcemia. Serum electrophoresis shows M spike, while Bone marrow shows 35% plasma cells. What is your diagnosis?: (A) MGUS, (B) Smoldering myeloma, (C) Multiple myeloma, (D) Plasma cell leukemia
Answer is C. Ans. (c) Multiple myeloma(Ref: Robbins 9th/pg 598-602)In the given scenario, patient has bone pain, destructive bony lesions on X Ray, hypercalcemia, M spike and 35% plasma cells in Bone marrow a Diagnostic of Multiple Myeloma