Hello everyone,
My Dad aged 63 was recently diagnosed with Solitary bone plasmacytoma. He had pain in his left hip area some three months before. When CT was done a solitary lytic lesion on his left hip bone was found measuring 4.5 cm. We immediately went to a hem-oncologist who advised a bone biopsy which was performed CT guided by the radiologist. Plasma cell dyscrasia was found. Further work up was SPEP, UPEP, Serum Immunofixation, CBC, Serum Calcium, BUN, LFT's, Lipid profile, Kappa Light Chains, 13 and 17 chromosome, Bone Marrow aspiration and Trephine, Bone Marrow Cytogenetics. All of it was normal. CT chest, abdomen and pelvis was performed which was normal except the solitary lesion on the iliac bone. MRI contrast of the spine was also normal with minor degenerative changes. Skeletal survey was normal as well. Our oncologist said that the work up was sufficient to prove that this indeed was a solitary plasmacytoma and ordered radiotherapy which will be started soon. My question was that was the work up sufficient or is it something more which we can do to further decrease the possibility of him having another lesion? What is the risk of him progressing to multiple myeloma since specifically in light of all the work up?
Thank you all for reading and I wish you all a great health.
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