Nodal Marginal Zone Lymphoma with IgG and IgM Secretion of Kappa Light Chain: Case Report

Table 1.

Laboratory test results

Laboratory Test Result Reference Range

White blood cells (/μl) 3,400 4,000 – 10,000
Red blood cells (/μl) 2.43×10⁶ 5 – 5.5
Hemoglobin (g/dL) 6.9 13 – 18
Hematocrit (%) 23 40 – 54
MCV (fL) 94.7 80 – 98
MCH (pg) 28.4 27 – 32
MCHC (%) 32.40 32 – 36
Platelets (/μl) 578,000 150,000 – 400,000
Neutrophils (/μl) 1,780 1,500 – 7,000
Lymphocytes (/μl) 1,370 1,000 – 4,000
Monocytes (/μl) 490 200 – 800
Eosinophils (/μl) 60 0 – 500
Basophils (/μl) 10 0 – 200
Reticulocytes (/μl) 58,800 20,000 – 80,000
Prothrombin Time (PT, %) 66 70 – 100
Activated Partial Thromboplastin Time (sec) 28.6 25
Urea (g/L) 0.27 0.15 – 0.45
Creatinine (mg/L) 7.34 7.2 – 12.5
Total proteins (g/L) 69,4 64 – 83
LDH (U/L) 270 125 – 243
C-Reactive Protein (mg/L) 4.93 0 – 5
Procalcitonin (ng/mL) 0.02 <0.1
24-hour proteinuria (mg/day) 575.23 < 100
Ferritin (ng/mL) 408.67 22 – 275
Haptoglobin (g/L) 2.60 0.14 – 2.58
Vitamin B12 (pg/mL) 388 187 – 883
Plasma folic acid (ng/mL) 4.3 2.34 – 17.56
Serology (Hepatitis B, Hepatitis C, syphilis, HIV) Negative
Total IgG (g/L) 20.37 5.40 – 18.22
Total IgA (g/L) 0.66 0.63 – 6.45
Total IgM (g/L) 0.152 0.22 – 2.93
Kappa light chains (mg/dL) 529.70 122 – 437
Lambda light chains (mg/dL) 208.09 62 – 231
Kappa/Lambda ratio 2.25 1.30 – 2.61

MCV: Mean Corpuscular Volume; MCH: Mean Corpuscular Hemoglobin; MCHC: Mean Corpuscular Hemoglobin Concentration; LDH: Lactate Dehydrogenase; IgG: Immunoglobulin G; IgA: Immunoglobulin A; IgM: Immunoglobulin M.