gammapatia monoclonal igm kappaigm kappa monoclonal gammopathyigm kappa monoclonal proteinpic monoclonal igm kappaigm kappakappa gammopathyigm kappa monoclonal protein detectedigg kappa monoclonal gammopathyigm lambda monoclonal gammopathyigm kappa monoclonal band presentpic monoclonal type igm kappamonoclonal gammopathy igg kappa type