monoclonal gammopathy igg lambda typemonoclonal gammopathy igm kappa typeigg lambda gammopathyigg kappa monoclonal gammopathyigg lambda monoclonal band presentigm kappa monoclonal band presentmonoclonal gammopathy igg kappa typemgus igg lambdaigg kappa gammopathyigm lambda monoclonal bandigg kappa monoclonal bandmgus igg kappa