26th July 2024

A 63-year-old patient was found to have a raised IgG level and referred to the haematology clinic

A 63-year-old patient was found to have a raised IgG level and referred to the haematology clinic. They have a background of hypertension and type II diabetes and are functionally independent. They report feeling well and their full blood count and other biochemical tests have come back normal. Further investigations have identified:

Serum monoclonal protein level: 35 g/L

Bone marrow: 55% clonal plasma cells

How would you manage this patient?

Select the SINGLE most appropriate option from the list below. Select ONE option only.