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General questions and discussion about multiple myeloma (i.e., symptoms, lab results, news, etc.) If unsure where to post, use this discussion area.

Re: Contradiction - bone marrow biopsy vs. M-spike?

by JimNY on Mon Nov 02, 2015 8:56 pm

Just tried to clarify a few points, Multibilly. Glad I could help a bit. You already had provided a lot of useful feedback while also helping with a lot of other questions here in the forum.

Also, I should have mentioned that the estimates I quoted about risk of progression from SBP to multiple myeloma are from the the Lancet Oncology paper with the new IMWG diagnostic criteria for multiple myeloma that was published last year. I didn't just pull the stats out of the air! ;)

JimNY

Re: Contradiction - bone marrow biopsy vs. M-spike?

by Little Monkey on Mon Nov 02, 2015 10:55 pm

How is your mom taking the radiation treatments (any side effects)?

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: Contradiction - bone marrow biopsy vs. M-spike?

by Tigerboy74 on Tue Nov 03, 2015 5:02 pm

Melissa,

Mine was in my left femur - it broke in 2007 when they discovered it.

I did radiation, which did not reduce my levels, so on came 4 rounds of thalidomide, Velcade and dex.

I was in remission for about 6 years, and slowly the M-spike crept up from 0.2 to 1.0.

My doctor ran MRI, full skeletal x-ray, and bone marrow biopsy and said I was free and clear after telling me a week prior that I have 5-15 years to live.

Got a new doctor, and he sent me on PET and found it in my left shoulder and my L2.

I am 2 rounds in and IgG is back back to normal; M-spike is at 0.6; light chains are above normal, but not too bad.

Expecting 2-3 more rounds and then stem cell transplantation.

The chemo (Velcade, Revlimid, and dex) is not bad at all for me, except on days 13 and 14.

Tigerboy74
Name: Mike
Who do you know with myeloma?: Me and few others
When were you/they diagnosed?: 2007
Age at diagnosis: 32

Re: Contradiction - bone marrow biopsy vs. M-spike?

by melissaanne on Tue Nov 03, 2015 8:32 pm

JimNY-

Thank you for the extra information! That was very helpful. The really confusing part is that the Doctor did say she has 5% plasma cells in her marrow (but no abnormal plasma cells). That continues to confuse me, as it seems like they ran a FISH panel so there must have been some kind of abnormality they saw fit to test? Or am I wrong?
It is a nice to hear that her M-Spike could be due to plasmacytoma alone. We wondered about that. The M-Spike was actually far less concerning to our Oncologist than the FLC ratio (which was slightly high at 2.3). She seems to have kappa monoclonal protein. Again, this could be from the plasmacytoma itself it sounds like.
It also sound like her M-Spike may take a while to go down? She is done with radiation and she is set to have blood work done in 3 weeks. Do you think that would be sufficient? I should add that her plasmacytoma WAS in the bone...but her BMB did come back with no abnormal cells, which leads Doctors to believe it's isolated to her T7.

Tigerboy1874- I am sorry to hear about your plasmacytoma and the fact that it did not react to radiation. :( Remission for 6 years, however, is very great to hear. I hope you can get there again! Do you think the other lesions were there in 2007? Did they fail to do an MRI, skeletal survey and/or bone marrow biopsy then? Or did they truly occur 6 years later? How did you get to the decision of a stem cell transplant? All in all, your case seems to be much more manageable than some. I am just trying to wrap my head around the very different treatment paths that seem to exist.

LittleMonkey- Thank you for asking! I am in shock. My mom handled this radiation SO WELL! She has so much energy, which her Doctors are stunned about. Week 3 of radiation was the worst. She hit 'the wall' and was running off naps throughout the day. Being that I am a Registered Dietitian, I came up with a vitamin and nutrition regimen for her to start. She did and her energy levels skyrocketed. She goes as far as to say "I feel AMAZING!". So, we are thankful and feeling very blessed.

Thanks, all! I love all this advice :)

melissaanne
Name: Melissa
Who do you know with myeloma?: My Mother
When were you/they diagnosed?: September 2015
Age at diagnosis: 49

Re: Contradiction - bone marrow biopsy vs. M-spike?

by Tigerboy74 on Wed Nov 04, 2015 10:55 am

They did all of the tests back then and slowly my M-Spike crept back up. As for the chemo and Stem Cell, I just follow my doctor's advice through this. I don't think the other plasmacytomas existed as my M-Spike was at a zero for quite a long time.

Tigerboy74
Name: Mike
Who do you know with myeloma?: Me and few others
When were you/they diagnosed?: 2007
Age at diagnosis: 32

Re: Contradiction - bone marrow biopsy vs. M-spike?

by melissaanne on Wed Nov 04, 2015 1:57 pm

I am sorry to hear that. Are they diagnosing you with Multiple Myeloma or Multiple Plasmacytomas?

melissaanne
Name: Melissa
Who do you know with myeloma?: My Mother
When were you/they diagnosed?: September 2015
Age at diagnosis: 49

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