Hi myeloma patient since 1999 I had my first transplant at 2000, and the second at 2011. Aim in good healt now ,after my 2nd transplant my protein immumofixation test reveals to oligoclonal pattern of IGg(kappa and lambda ) type Now my last test which I performed before 1weak the protein immunofixation test reveals to dominant IGg kappa monoclonal band in addition to oligoclonal pattern of IGg(kappa and lambda)
Usually it is very rare to have both kappa and lambda expression together. You can repeat the test after one month. Main thing to look for is free light chain assay and immunization