Images and videos

Images

4

Multiple myeloma

Bone marrow biopsy after histochemical analysis for kappa light chain

Courtesy of Dr Robert Hasserjian, Hematopathology, Massachusetts General Hospital; used with permission

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3

Multiple myeloma

Bone marrow biopsy

Courtesy of Dr Robert Hasserjian, Hematopathology, Massachusetts General Hospital; used with permission

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1

Multiple myeloma

A: serum protein electrophoresis demonstrating a monoclonal immunoglobulin. B: serum and urine immunofixation electrophoresis (IFE) demonstrating a monoclonal immunoglobulin and free light chain (Bence Jones [BJ] protein)

Courtesy of Dr M Murali and the Clinical Immunology Laboratory, Massachusetts General Hospital; used with permission

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6

Multiple myeloma

Aspirate showing plasma cell infiltrate

Courtesy of Dr Robert Hasserjian, Hematopathology, Massachusetts General Hospital; used with permission

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2

Multiple myeloma

A: serum protein electrophoresis (SPEP) of normal serum. B: SPEP of multiple myeloma serum showing a monoclonal immunoglobulin (M-protein) in the gamma region. C: densitometry tracing of normal serum (A) showing the 5 zones of the high resolution agarose electrophoresis. D: densitometry tracing of multiple myeloma serum (B) showing a monoclonal spike (M spike)

Courtesy of Dr M Murali and the Clinical Immunology Laboratory, Massachusetts General Hospital; used with permission

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5

Multiple myeloma

Bone marrow biopsy after histochemical analysis for lambda light chain

Courtesy of Dr Robert Hasserjian, Hematopathology, Massachusetts General Hospital; used with permission

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