Question

A 60-year-old man with progressive back pain and recurrent infections is found to have a monoclonal protein spike on serum protein electrophoresis and raised serum calcium. Which diagnosis is most likely?

Accepted Answer

Multiple myeloma

Answer

Non-Hodgkin lymphoma

Answer

Acute lymphoblastic leukaemia

Answer

Metastatic prostate cancer

Answer

Waldenström macroglobulinaemia

Practice question

A 60-year-old man with progressive back pain and recurrent infections is found to have a monoclonal protein spike on serum protein electrophoresis and raised serum calcium. Which diagnosis is most likely?