Hi Sachbarnes
I believe it’s only the ratio that is of real significance.
Since my SCT 3 1/2 years ago my kappa levels have been outside normal limits (high) despite me having lambda myeloma. My consultant has said that this is, if anything, a positive thing. The ratio is within normal range.
Even if we are in a stable position disease wise, or if no myeloma is evident, our bone marrow remains ‘abnormal’ so perhaps that is the explanation.