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How monitor treatment if myeloma not showing in labs?

by Loretto Lassie on Tue Oct 16, 2018 9:35 am

One year ago, I had a large plasmacytoma surgically removed from my skull and then radiated. On a follow-up MRI a year later, it has started to grow back. They tell me they cannot radiate again because it is pressing on the brain. I have never had any indications of multiple myeloma, but I suspect this time around it will be some sort of systemic treatment.

My question is, if nothing shows up on blood work ever, how would they monitor the success / failure of the treatment? Would they have to do a follow-up MRI every month? I am concerned about the implication of this.

Thanks for listening.

Loretto Lassie

Re: How monitor treatment if myeloma not showing in labs?

by Gala on Tue Oct 16, 2018 1:56 pm

Hi, Loretto

Sorry to hear your plasmacytoma has grown back. I assume you have had tests to rule out systemic disease at the time of first occurrence? My sister is prone to plasmacytomas and she has multiple myeloma. She sometimes has multiple plasmacytomas that cannot be radiated and then receives treatment to address them. So far the tumors have been disappearing with treatment. She does not show any myeloma in the lab results any more (she did initially), so the monitoring is done by MRI scans. I am not sure how frequent she has it, but considering her disease is very aggressive and she relapses a lot, she has had plenty of scans.

Gala
Name: Gala
Who do you know with myeloma?: sister, LgA-k
When were you/they diagnosed?: December 2015
Age at diagnosis: 48

Re: How monitor treatment if myeloma not showing in labs?

by Multibilly on Wed Oct 17, 2018 11:10 am

Hi Loretto,

Exactly what is your diagnosis? Were you diagnosed with multiple myeloma or with a solitary plasmacytoma?

Multibilly
Name: Multibilly
Who do you know with myeloma?: Me
When were you/they diagnosed?: Smoldering, Nov, 2012


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