igm kappa monoclonal band presentpic monoclonal igm kappaigm monoclonal gammopathyigm monoclonal proteinmonoclonal igm lambdaigm kappa monoclonaligm kappa monoclonal protein detectedmonoclonal gammopathy igm kappa typepic monoclonal type igm kappaigm lambda monoclonal gammopathygammapatía monoclonal igm kappaigm kappa monoclonal gammopathy