igg kappa monoclonal band presentgammapatia monoclonal igm kappaigm kappa monoclonal gammopathyigm kappa monoclonal proteinpic monoclonal igm kappaigm kappaigm kappa monoclonal protein detectedmonoclonal gammopathy igm kappa typepic monoclonal type igm kappaigg lambda monoclonal band presentigm lambda monoclonal gammopathyigm lambda monoclonal protein