[gunner]

M Spike?

by gunner on Sat Sep 21, 2013 6:59 pm

My husband's haematologist tracks his IgG levels which have been rising 2 years post transplant and he has now started Rev/Dex.Is this the same as tracking the M spike ? I'm still unclear as to what exactly it is.
He also has bone damage in back, pelvis area.He has had no bone marrow biopsy since diagnosis 3 years ago, no urine analysis etc.but has had MRI, skeletal surveys etc. Is this enough to keep track of his myeloma status?

[Dr. Jason Valent]

Re: M Spike?

by Dr. Jason Valent on Sun Sep 22, 2013 2:55 pm

The bone imaging is appropriate. Many physicans use the total IgG to follow but most myeloma doctors will want to follow the M-protein or M-spike from the serum protein electrophoresis. Ask that the M-protein is also quantified.

[Gunner]

Re: M Spike?

by Gunner on Sun Sep 22, 2013 8:17 pm

Thanks for the prompt and helpful reply, Dr Valent.

[WeatherNurse13]

Re: M Spike?

by WeatherNurse13 on Tue Sep 24, 2013 11:27 am

I have been wondering the same thing. Thanks!