igm kappa monoclonal band presentgammapatia monoclonal igmpic monoclonal igm kappaigm monoclonal gammopathymonoclonal 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