26th July 2024

A 75-year-old patient was found to have a raised IgG level and referred to the haematology clinic. She has a background of poorly

A 75-year-old patient was found to have a raised IgG level and referred to the haematology clinic. She has a background of poorly controlled type II diabetes and COPD, and she uses a stick to walk outside. She reports no symptoms, but blood tests identify anaemia and hypercalcaemia. Further investigations show:

Serum monoclonal protein level: 50 g/L

Bone marrow: 65% clonal plasma cells

How would you manage this patient?

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