I have many equivocal results with IFE on urine samples – can serum FLC assays help?
Yes, because low levels of urinary monoclonal FLC (and therefore equivocal results) are usually associated with highly elevated serum FLC levels and abnormal FLC ratio. An equivocal IFE with a normal FLC result can reasonably be interpreted as “no monoclonal protein detected”. An equivocal result with an abnormal FLC result should be used as trigger for further studies.