Has your hematologist gone over the 20/2/20 risk stratification model? It would seem like you would be considered intermediate to high risk for progression based upon your lab results. plasma cells > 20%, M-Spike > 2 and your flc ratio is approaching >20 involved/uninvolved 631/35. Is your flc ratio 35/631 = .05546.
I am scheduled for my first bone marrow biopsy on 1/5/26. My flc is .056. Lambda flc is 331.7 and kappa is 18.6. Diagnosed with MGUS 18 months ago. M-Spike is 1.2, IGG is 2075, Beta 2 microglobulin is 3.3. Had a bone scan recently with came back negative for focal lesions. Trying to stay on top of this....will start treatment ASAP if warranted.