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16 year old brother diagnosed with multiple myeloma

by mitzikaren on Tue Jun 07, 2016 1:41 pm

n April 25, 2016, I took my brother to children's urgent care. My mom called me and asked me to take my brother to the clinic because he was complaining that his back was hurting and he couldn't even get up from bed or even walk. They took an x-ray of his back and found a small dark spot. So they did a CT scan.

After 3 hours in the waiting room the nurse came in and told me they found a "bone lesion" in his lower spine and I needed to take my brother to the ER for an MRI. I called both my parents and informed them of the situation.

I rushed to the ER and from there they started to do blood tests, urine tests, and the MRI on Monday May 2, 2016. The MRI took more than two hours! My brother is claustrophobic and adding stress did not help. Although they gave him something to help with anxiety, he still could not stay still for more than an hour. He said he felt like he could not breathe and was being squeezed by the MRI machine and the noises that it made made it 10x worst .

After the MRI they confirmed he had "bone lesions" in his lower spine and the back of his skull seemed to have small spots. They did not know exactly what it was but they thought it was Langerhans cell histiocytosis (LCH). They performed a biopsy on his lower spine and confirmed it was not LCH. They told us we could take him home after 2 weeks hospitalized, but had to keep a back brace on at all times until they confirmed what exactly he had.

After a week at home we had an appointment with another doctor that specialized in cancer :( He would tell us the results of my brother's biopsy at his clinic. Even though I saw the name of the clinic and children with no hair, it did not cross my mind or my mother's that it was a possibility my brother had cancer.

May 20, 2016 was the hardest day for my family. It was the longest, most saddest day of our life.
The doctor not only gave us the horrible news, but also told us we had to start taking him to an adult cancer clinic because they did not specialize in multiple myeloma, due to this disease being found in older people and not children.

My brother is the youngest his new doctor has worked with. We have not found anyone close to my brother's age to relate to or to talk to.

He started treatment June 2, 2016.

mitzikaren

Re: 16 year old brother diagnosed with multiple myeloma

by lrankin on Tue Jun 07, 2016 2:03 pm

First, I am so sorry you are having to post to this forum.

When you say you are seeing someone who specializes in cancer - are you seeing a myeloma specialist? It is really important you see someone who isn't just focused on all blood cancers, but who only focuses on myeloma. If you have not added a myeloma specialist to your team, if you tell us where you live, people here in the forum can help you find a specialist who is nearby.

Wishing your brother and family the best.

lrankin

Re: 16 year old brother diagnosed with multiple myeloma

by Little Monkey on Tue Jun 07, 2016 5:44 pm

Wow, 16, sorry man. That's bad. The youngest I've heard before now was a doctor in South Africa who was diagnosed at 28 years of age. Like Irankin asked, where are you located? If you don't feel comfortable mentioning what city you live in, just tell us the general area (e.g., Northern California, Tyrol province of Austria, etc.)

It's not all dismal from here though. If you live in a developed or upper-end developing country, there are some pretty good drugs that have come out in the last 10 years, which have lengthened life expectancy considerably, especially in younger patients.

Little Monkey
Name: Little Monkey
Who do you know with myeloma?: Father-stage 1 multiple myeloma
When were you/they diagnosed?: March/April of 2015

Re: 16 year old brother diagnosed with multiple myeloma

by Mark11 on Tue Jun 07, 2016 8:51 pm

Hi Mitzikaren,

Sorry to hear your brother was diagnosed at such a young age. I have heard of a patient who was diagnosed when he was 17, but that's the youngest I'm aware of.

I was diagnosed young by myeloma patient standards (early 40's). Most of my contacts were acute leukemia patients who were my age. I was treated in a similar manner as they are, so my experience has been much more similar to those patients than most myeloma patients. You could check if there is any way to be put in contact with any acute leukemia patients from the children's clinic who are his age. I think your brother would be able to relate to them as the challenges tend to be similar. I have been to a couple of long-term transplant survivor events and the patients tend to gravitate toward people their own age as opposed to what type of cancer they had.

On the positive side, my experience as a younger myeloma patient leads me to believe myeloma is a curable disease with aggressive upfront therapy just like acute leukemias are. I just celebrated my fifth year in a drug-free remission with no signs of myeloma. The data that you see on myeloma patients are from older patients who do not have all the therapy options younger patients may have available to them.

We know how devastating a diagnosis of myeloma can be for a family. I would suggest asking for social help that is likely available at the clinic for the patient and the family. A strong support system is vital for a great outcome and it is obvious your brother has that going for him.

Mark

Mark11

Re: 16 year old brother diagnosed with multiple myeloma

by NStewart on Tue Jun 07, 2016 10:08 pm

Your brother is very lucky to have you in his corner doing some research about this disease. Yes, your brother is very young to have been diagnosed with myeloma, but there are others out there his age. It's just really hard to find out where they are.

The best thing that your family can do right now is to make an appointment with a myeloma specialist for a second opinion. Because your brother is so young it's important that he have an oncologist who lives and breathes only myeloma and does research in myeloma. If there isn't one near where you live, it is common to have the second opinion with a specialist who will then work with your local oncologist to guide treatment. Then your brother can have all of his treatment given with the local oncologist and all of the testing done locally. He would only have to go to the specialist a few times a year.

Fortunately myeloma is a disease where there is a lot of good research going on. In 2015, four new drugs were FDA approved to treat the disease. The new class of drugs, monoclonal antibodies, are being added to the treatment regimens with very good results.

I wish your brother and the rest of your family all of the best while navigating this new life for him and the rest of you. Please keep us informed of how he is doing. Ask any questions that you may have. There are a lot of very well informed people who post regularly here.

Nancy in Phila

NStewart
Name: Nancy Stewart
Who do you know with myeloma?: self
When were you/they diagnosed?: 3/08
Age at diagnosis: 60

Re: 16 year old brother diagnosed with multiple myeloma

by cdnirene on Tue Jun 07, 2016 10:24 pm

I came across a post written by Dan in Phoenix in 2013.

He was diagnosed in 1987 at the age of 29, treated, and then in remission for 25 years before having to go back on treatment.

I don't know how your brother will respond to treatment, but there really is hope.

cdnirene
Name: Irene S
Who do you know with myeloma?: me
When were you/they diagnosed?: September 2014
Age at diagnosis: 66

Re: 16 year old brother diagnosed with multiple myeloma

by lys2012 on Sat Jun 11, 2016 9:42 pm

Wow. 16. I was the youngest with myeloma at the hospital I was diagnosed and I had multiple myeloma at 30. Your bro is half my age. But it has been 6 years since my stem cell transplant and I feel fine, have done a lot since my diagnosis (age appropriate - got married, bought a condo, sold it, bought a house, had a baby, went on a few trips, etc). You should stay hopeful.

lys2012
Name: Alyssa
When were you/they diagnosed?: 2010, Toronto, Canada
Age at diagnosis: 32

Re: 16 year old brother diagnosed with multiple myeloma

by TracyZ on Thu Aug 04, 2016 9:04 pm

Hello,

I'm not sure what triggered me to search for other young people with multiple myeloma tonight, but I want to reach out and tell you my husband's and my success story. Before I start, I'm so sorry for this awful news, I remember vividly the pain I felt when it was confirmed that Frank had cancer. I'll pass along the condensed version of what we went through.

My now husband was diagnosed with multiple myeloma when we were engaged, and he was only 23 years old. With a fantastic medical support system, he was treated with both radiation and an autologous stem cell transplant. It was a completely life-changing experience, including losing a few inches of his right leg length (his largest tumor was in his hip), but he has overcome every obstacle in his path, and I even though it sounds cheesy, he has become stronger, not just mentally, but physically.

This awful disease is more treatable today than it ever has been, and is heavily researched. The most amazing thing I remember is the amount of caring people that we were surrounded with during the year of him being diagnosed through finding out he was in remission; it was really incredible.

My husband just celebrated his 30th birthday this month and is living a normal life. Your brother is lucky to have you by his side. I will keep him and your whole family in my prayers.

If you have any questions feel free to ask.

-Tracy

TracyZ


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