
Multiple Myeloma Monitoring Panel near me in Coimbatore








The Multiple Myeloma Monitoring Panel is a comprehensive blood test panel designed to help diagnose, risk stratify, and monitor multiple myeloma and related plasma cell disorders. It evaluates abnormal proteins, immunoglobulins, free light chains, kidney function, blood counts, and other important biomarkers to assess disease burden, detect complications, and support treatment planning and response monitoring. This panel is widely available with Tata 1mg labs at an affordable price in Coimbatore.








What does Multiple Myeloma Monitoring Panel measure?
Contains 35 testsThe Multiple Myeloma Monitoring Panel measures abnormal proteins, biomarkers and blood markers associated with multiple myeloma including:
- Serum Protein Electrophoresis (SPEP): Detects and quantifies monoclonal proteins (M-proteins) in the blood, helping diagnose, monitor treatment response, and detect disease recurrence.
- Immunoglobulin G (IgG), Immunoglobulin A (IgA), and Immunoglobulin M (IgM): Measure the levels of major antibodies produced by plasma cells.
- Kappa and Lambda Freelite Assay: Measures free Kappa and Lambda light chains to detect abnormal plasma cell activity and support the diagnosis and monitoring of multiple myeloma.
- Serum Calcium: Evaluates calcium levels, which may become elevated due to bone damage.
- Serum Albumin: Assesses nutritional status and contributes to disease staging.
- Serum Creatinine and Blood Urea Nitrogen: Evaluates kidney function, which may be affected by multiple myeloma.
- Complete Blood Count (CBC): Assesses red blood cells, white blood cells, and platelets to detect anemia, infection risk, or other blood abnormalities.
- Beta-2 Microglobulin: Serves as an important prognostic marker that helps assess disease burden and stage multiple myeloma.
- Lactate Dehydrogenase (LDH): Measures an enzyme released during cell damage and serves as a prognostic marker, with elevated levels often indicating more aggressive disease.
Together, these tests help doctors identify monoclonal proteins, evaluate plasma cell activity, assess organ involvement, monitor disease progression, and make informed treatment decisions for patients with multiple myeloma.
The Serum Calcium test measures the calcium level in your blood. Most of your body’s calcium (about 99%) is stored in bones and teeth to keep them strong. The rest (1%) circulates in the blood and helps your muscles move, nerves work, blood to clot, and heart to keep a steady rhythm.
Calcium in blood comes in two forms:
- Bound calcium, attached to proteins like albumin
- Ionized (free) calcium, which is active and helps many body functions
This test measures total calcium (both bound and ionized). This test cannot show if you have enough calcium in your diet. It also cannot detect bone diseases like osteoporosis. The body keeps blood calcium levels steady. It does this by taking calcium from bones during mild shortages.
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The Serum Albumin test measures the level of albumin protein in your blood. Albumin is one of the major proteins found in your body; about 60% of the total protein is made up of albumin, which is produced by the liver. It helps carry small molecules, such as hormones, vitamins, minerals, and medicines, throughout the body. It also serves as a source of amino acids for tissue metabolism. Albumin helps stop the fluid from leaking out of the blood vessels. When the albumin level is insufficient, the fluid can leak out of your blood vessels and build up in your lungs, belly, or other body parts.
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The CBC (Complete Blood Count) test measures the number of red blood cells (RBCs), white blood cells (WBCs), and platelets. Each of these blood cells performs essential functions–RBCs carry oxygen from your lungs to the various body parts, WBCs help fight infections and other diseases, and platelets help your blood to clot. Therefore, determining their levels can provide significant health information. A CBC test also determines the hemoglobin level, a protein in RBC that carries oxygen from the lungs to the rest of your body. Evaluating all these components together can provide important information about your overall health.
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Differential Leukocyte Count
- Differential Neutrophil Count
- Differential Lymphocyte Count
- Differential Monocyte Count
- Differential Eosinophil Count
- Differential Basophil Count
There are five types of WBCs: neutrophils, lymphocytes, monocytes, eosinophils, and basophils. A Differential Leukocyte Count test measures the percentage of each type of WBC in the blood. Leukocytes or WBCs are produced in the bone marrow and defend the body against infections and diseases. Each type of WBC plays a unique role to protect against infections and is present in different numbers.
This further contains
Red Blood Cell Count
The Red Blood Cell Count test measures the total number of red blood cells in your blood. RBCs are the most abundant cells in the blood with an average lifespan of 120 days. These cells are produced in the bone marrow and destroyed in the spleen or liver. Their primary function is to help carry oxygen from the lungs to different body parts. The normal range of RBC count can vary depending on age, gender, and the equipment and methods used for testing.
Hb (Hemoglobin)
The Hb (Hemoglobin) test measures the concentration of hemoglobin in your blood. Hemoglobin binds oxygen molecules and carries them to body tissues while removing carbon dioxide. Low hemoglobin suggests reduced oxygen-carrying capacity. It can be due to anemia, bleeding, nutritional deficiencies (iron, vitamin B12, folate), or chronic disease. High hemoglobin may occur in dehydration, living at high altitudes, smoking, or diseases like polycythemia vera.
Platelet Count
The Platelet Count test measures the average number of platelets in the blood. Platelets are disk-shaped tiny cells originating from large cells known as megakaryocytes, which are found in the bone marrow. After the platelets are formed, they are released into the blood circulation. Their average life span is 7-10 days.
Platelets help stop the bleeding, whenever there is an injury or trauma to a tissue or blood vessel, by adhering and accumulating at the injury site and releasing chemical compounds that stimulate the gathering of more platelets. A loose platelet plug is formed at the site of injury and this process is known as primary hemostasis. These activated platelets support the coagulation pathway that involves a series of steps, including the sequential activation of clotting factors; this process is known as secondary hemostasis. After this step, there is a formation of fibrin strands that form a mesh incorporated into and around the platelet plug. This mesh strengthens and stabilizes the blood clot so that it remains in place until the injury heals. After healing, other factors come into play and break the clot down so that it gets removed. In case the platelets are not sufficient in number or not functioning properly, a stable clot might not form. These unstable clots can result in an increased risk of excessive bleeding.
Total Leukocyte Count
The Total Leukocyte Count test measures the numbers of all types of leukocytes, namely neutrophil, lymphocyte, monocyte, eosinophil, and basophil, in your blood. Leukocytes or WBCs are an essential part of our immune system. These cells are produced in the bone marrow and defend the body against infections and diseases. Each type of WBC plays a unique role to protect against infections and is present in different numbers.
Hematocrit
The Hematocrit test measures the proportion of red blood cells (RBCs) in your blood as a percentage of the total blood volume. It is a crucial part of a complete blood count (CBC) and helps in assessing your blood health. RBCs are responsible for carrying oxygen from the lungs to different parts of the body. The hematocrit test provides valuable information about your blood's oxygen-carrying capacity.
Higher-than-normal amounts of RBCs produced by the bone marrow can cause the hematocrit to increase, leading to increased blood density and slow blood flow. On the other hand, lower-than-normal hematocrit can be caused by low production of RBCs, reduced lifespan of RBCs in circulation, or excessive bleeding, leading to a reduced amount of oxygen being transported by RBCs. Monitoring your hematocrit levels is essential for diagnosing and managing various blood-related disorders.
Mean Corpuscular Volume
The Mean Corpuscular Volume test measures the average size of your red blood cells, which carry oxygen through your body. This test tells whether your RBCs are of average size and volume or whether they are bigger or smaller.
Mean Corpuscular Hemoglobin
An MCH test measures the average amount of hemoglobin in a single red blood cell (RBC). Hemoglobin is an iron-containing protein in RBCs, and its major function is to transport oxygen from the lungs to all body parts. This test provides information about how much oxygen is being delivered to the body by a certain number of RBCs.
Mean Corpuscular Hemoglobin Concentration
An MCHC test measures the average amount of hemoglobin in a given volume of RBCs. MCHC is calculated by dividing the amount of hemoglobin by hematocrit (volume of blood made up of RBCs) and then multiplying it by 100.
Absolute Leucocyte Count
- Absolute Lymphocyte Count (ALC)
- Absolute Neutrophil Count
- Absolute Basophil Count
- Absolute Monocyte Count
- Absolute Eosinophil Count
The Absolute Leucocyte Count test measures the total number of white blood cells (leucocytes) in the given volume of blood. It examines different types of white blood cells such as neutrophils, lymphocytes, monocytes, basophils and eosinophils. These cells tell about the status of the immune system and its ability to fight off infections and other conditions like inflammation, allergies, bone marrow disorders etc.
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Mean Platelet Volume
An MPV test measures the average size of the platelets in your blood. Platelets are disk-shaped tiny cells originating from large cells known as megakaryocytes, which are found in the bone marrow. After the platelets are formed, they are released into the blood circulation. Their average life span is 7-10 days.
Platelets help stop bleeding whenever there is an injury or trauma to a tissue or blood vessel by adhering and accumulating at the injury site, and by releasing chemical compounds that stimulate the gathering of more platelets. After these steps, a loose platelet plug is formed at the site of injury, and this process is known as primary hemostasis. These activated platelets support the coagulation pathway that involves a series of steps including the sequential activation of clotting factors; this process is known as secondary hemostasis. After this, there is a formation of fibrin strands that form a mesh incorporated into and around the platelet plug. This mesh strengthens and stabilizes the blood clot so that it remains in place until the injury heals. After healing, other factors come into play and break the clot down so that it gets removed. In case the platelets are not sufficient in number or are not functioning properly, a stable clot might not form. These unstable clots can result in an increased risk of excessive bleeding.
PDW
The PDW test reflects variability in platelet size, and is considered a marker of platelet function and activation (clot formation in case of an injury). This marker can give you additional information about your platelets and the cause of a high or low platelet count. Larger platelets are usually younger platelets that have been recently released from the bone marrow, while smaller platelets may be older and have been in circulation for a few days. Higher PDW values reflect a larger range of platelet size, which may result from increased activation, destruction and consumption of platelets.
RDW CV
The RDW CV test which is part of red cell indices, helps identify characteristics of red blood cells. RDW (red cell distribution width) measures the variations in the sizes of red blood cells, indicating how much they differ from each other in a blood sample. RDW is expressed as RDW-CV, a coefficient of variation. A higher RDW may suggest more variation in red cell sizes, while a lower RDW indicates more uniform red cell sizes.
The Serum Creatinine test measures the creatinine level, a byproduct produced by the wear and tear of muscles during energy production. Since kidneys help filter creatinine, this test helps determine how well your kidneys work. Usually, high levels of creatinine in the blood signal diminished kidney function. At the same time, low levels may indicate decreased muscle mass.
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The Kappa and Lambda - Freelite test measures the free (unbound) kappa and lambda light chains in the blood. Light chains are small proteins produced by plasma cells, a type of white blood cell. They can combine with other proteins (heavy chains) to form immunoglobulins, or antibodies, which help fight infections. When light chains are produced in excess, they do not combine with heavy chains and instead enter the blood in a "free" state, unbound to heavy chains.
This test also determines the balance or ratio of kappa to lambda light chains in the blood (kappa: lambda ratio) which can provide valuable information about disorders related to plasma cells, such as multiple myeloma, a type of bone marrow cancer. It is also useful in monitoring treatment response and disease progression in these conditions.
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Kappa/Lambda Ratio
The Kappa/Lambda Ratio test measures the balance of two types of free light chains: free kappa light chains and free lambda light chains. These light chains are components of antibodies produced by plasma cells as part of the immune response. Normally, a small amount of free light chains are present in the bloodstream, but in some conditions, such as plasma cell disorders like primary amyloidosis, multiple myeloma, Waldenström macroglobulinemia, and monoclonal gammopathies, the production of these light chains can rise significantly.
By considering the balance between kappa and lambda light chains, rather than just their individual levels, the Kappa/Lambda Ratio test provides a more comprehensive assessment of light chain production and its relevance to diagnosing plasma cell proliferation.
Kappa Light Chains
The Kappa Light Chains test measures the free (unbound) kappa light chains in the blood. Light chains are small proteins produced by plasma cells, a type of white blood cell. They can combine with other proteins (heavy chains) to form immunoglobulins, or antibodies, which help fight infections. When kappa light chains are produced in excess, they do not combine with heavy chains and instead enter the blood in a "free" state, unbound to heavy chains. Abnormal levels of kappa free light chains can indicate various diseases, including multiple myeloma and other plasma cell disorders. Thus, measuring the Kappa light chains levels plays a crucial role in the comprehensive evaluation and management of blood-related disorders, ultimately benefiting individuals by enabling timely diagnosis, personalized treatment approaches, and improved clinical outcomes.
Lambda Light Chains
The Lambda Light Chains test measures the free (unbound) lambda light chains in the blood. Light chains are small proteins produced by plasma cells, a type of white blood cell. They are part of antibodies, which are used by the immune system to identify and neutralize foreign objects. Normally, light chains combine with heavy chains to form antibodies. However, some light chains are not bound to heavy chains and are therefore termed as “free” light chains.
Abnormal levels of lambda-free light chains can indicate various diseases, including multiple myeloma and other plasma cell disorders. Thus, quantifying the lambda light chains levels plays a crucial role in the comprehensive evaluation and management of blood-related disorders, ultimately benefiting individuals by enabling timely diagnosis, personalized treatment approaches, and improved clinical outcomes.
The Immunoglobulin G test measures the concentration of IgG antibodies present in the serum. These antibodies are produced by the immune system in response to specific pathogens or infections. Elevated levels of IgG can indicate recent or chronic infections, while lower levels may suggest an impaired immune response or deficiency. This test is crucial for assessing an individual’s immune status and provides valuable information for doctors to make informed clinical decisions regarding diagnosis, treatment strategies, and ongoing management of various health conditions.
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The Immunoglobulin M test measures the concentration of IgM antibodies in the blood. These antibodies are typically the first line of defense produced by the immune system during an initial exposure to a pathogen (bacteria, virus, etc). Elevated IgM levels indicate a recent or ongoing infection, while low or absent IgM levels suggest that an individual is either not currently infected or that the immune system has entered a later phase of response. This test is particularly useful for diagnosing acute infections and for distinguishing between new and past infections.
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The Immunoglobulin A test measures the concentration of IgA antibodies in the blood. The immune system produces these antibodies in response to pathogens and is primarily active in the mucosal membranes of the body, where they help prevent infections. Elevated levels of IgA may indicate chronic infections, autoimmune conditions, or inflammation, while lower levels can suggest immunodeficiency or impaired antibody production. This test provides essential insight into an individual’s mucosal immune health and is important for diagnosing and managing immune-related conditions.
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The Lactate Dehydrogenase, Serum test measures the level of the enzyme lactate dehydrogenase (LDH) in the blood. LDH is involved in energy production and is present in many types of cells, including those in the heart, liver, muscles, kidneys, brain, and blood cells. When these cells are damaged or destroyed, they release LDH into the bloodstream. Therefore, a minor amount of LDH is continuously released into the bloodstream as part of regular cell turnover and metabolic processes. However, elevated LDH is concerning because it usually signals underlying tissue damage, inflammation, or a wide range of diseases such as liver disease, heart disease, hemolytic anemia, and certain cancers. Its elevation necessitates further diagnostic evaluation to determine the specific cause and appropriate treatment.
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The Beta-2 Microglobulin, Serum test measures the concentration of beta-2-microglobulin in the blood. B2M levels provide insight into both cellular activity and how effectively the kidneys are clearing proteins from the blood. High levels may indicate advanced stages of multiple myeloma, chronic lymphocytic leukemia, kidney disease, or other disorders affecting the immune system. Elevated B2M levels are often associated with poorer prognosis and can guide more aggressive treatment strategies. Low or normal levels typically indicate healthy kidney function and no significant increase in cell turnover from malignancy or immune activation.
By measuring serum B2M, doctors can evaluate disease progression, monitor treatment response, and support diagnosis and prognosis planning for blood cancers and related disorders.
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The Protein Electrophoresis, Serum test measures the concentration and distribution of specific proteins (like albumin, alpha globulins, beta globulins, and gamma globulins) in the blood. Each of these plays a vital role in bodily functions. This test aids in the detection of abnormal proteins, particularly monoclonal (M) proteins. The presence of M proteins may indicate plasma cell disorders such as multiple myeloma (a blood cancer that affects plasma cells in the bone marrow). Also, this test helps diagnose and monitor various blood disorders.
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The Blood Urea Nitrogen test measures the levels of urea nitrogen in the blood. Blood urea is a waste product that is formed in the liver when you eat food and the protein is metabolized into amino acids. This process leads to the production of ammonia that is further converted into urea. Both ammonia and urea are nitrogenous compounds. Your liver releases urea into the blood which is then carried out to the kidneys. In the kidneys, urea is filtered from the blood and flushed out of the body via urine. This is a continuous process, so a small amount of urea nitrogen always remains in the blood.
In the case of a kidney or liver disease, there is a change in the amount of urea present in the blood. If your liver produces urea in an increased amount or if there is any problem in kidney functioning, there might be difficulty in filtering out the waste products from the blood, which can result in increased urea levels in the blood.
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FAQs related to Multiple Myeloma Monitoring Panel in Coimbatore
- Albagoush SA, Shumway C, Azevedo AM. Multiple Myeloma. [Updated 2023 Jan 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: [Accessed 16 Oct. 2025]. Available From:
- Elbahoty MH, Papineni B, Samant RS. Multiple myeloma: clinical characteristics, current therapies and emerging innovative treatments targeting ribosome biogenesis dynamics. Clin Exp Metastasis. 2024 Dec;41(6):829-842. [Accessed 16 Oct. 2025]. Available From:
- Rajkumar SV. Multiple myeloma: 2022 update on diagnosis, risk stratification, and management. Am J Hematol. 2022 Aug;97(8):1086-1107. [Accessed 16 Oct. 2025]. Available From:
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