He left the oncologist office with a sheet of paper not even being told he had multiple myeloma. He googled the diagnosis and was destroyed. It took 10 calls in 2 weeks from myself to the office before a nurse called me back. And said, "Yes, that's his diagnosis".
I looked at my sad best friend and said, "WE GOT THIS", and he smiled. It was as if my tough girl optimism was his antidote. So here I am!
I have struggled with this biopsy report, as most of you already know its alot to consume and try to learn. ANY help and feedback would be a blessing.
Mike's regular Doctor asked him to see a hematologist back in 11/2010, but never mentioned what she suspected. But I recently got Mike's lab results that she had done, and the current labs and biopsy report. But the good news, from 11/10 to 4/12 his lab numbers haven't really changed. I have been told all his genetic "FISH"? results were Negative
I don't know whats important so i'll just type his latest lab test and some Biopsy.
TSH 2.406
T PROT (SPE) 7.8
ALBUMIN (SPE) 3.5
ALPHA 1 0.2
ALPHA 2 0.9
BETA 0.9
GAMMA 2.3
A/G 0.8
ALB% 45.1
ALPHA 1% 2.2
ALPHA 2% 11.7
BETA% 11.8
GAMMA% 29.2
IMMUNOFIX,EL,UR,PROTEIN 6.8
SOURCE IFX
------------------
LgG 2663
lgA 39
lgM 30
BETA 2 MICROGLOBIN 1.8
URINE ASSAYS
---------------------
PROT,UR,MG/DL 6.8
CREA UR 24Hr In 120.04
sodium-na 138
POTASSIUM-K 4.1
CHLORIDE-CL 103
C02 22
BUN 14
CREATININE .80
GLUCOSE LEVEL 97
CALCIUM-CA 9.4
CA-CORRECTED FOR ALB 9.9
ALBUMIN 3.4
TOTAL PROTEIN B 7.9
TOTAL BILI 0.2
ALK PHOSPHATASE 52
(SGOT) AST 24
(SGOT) ALT 63
CALC VALUES/OSM
ANION GAP 13.0
OSMOLALITY CALC 286.4
CBC
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HEMOGLOBIN 13.0
HEMATOCRIT 38.3
WBC 7.3
PLATELET 304
NEUT% 61.4
LYMPH% 28.1
mono% 8.4
eos% 1.8
baSO% 0.3
NEUT CT 4.5
LYMPH CT 2.0
MONO CT 0.6
EOS CT 0.1
BASO CT 0.0
MCV 86.8
MPV 9.8
RDW 13.4
MCH 29.5
MCHC 33.9
RBC 4.41
Immunohistochemistry for CD138, kappa and lambda reveals increased plasma cells
(10-20%) which are kappa restricted. No sheeting, Only scattered lambda positive plasma
cells are noted. CD3 and CD20 highlight scattered T cells and B cells. Primarily
comprised of T cells. No definitive lymphoid aggregates are identified.
There is trilineage hematopoiesis with adequate maturation. Blast are not increased.
Myeloid and erythroid elements are present in normal proportions with an M:E ratio of 2.5:1
The megakaryocytes display a spectrum of maturation and are evenly distributed.
Morphologically unremarkable plasma cells are focally conspicuous: however, no overtly
atypical or plasmablastic forms are noted.No definate russell bodies or dutch bodies
are identified. There is no overt lymphocytosis.
MICROSCOPIC DESCRIPTION
-------------------------------------------
The peripheral blood is remarkable fornormocytic and normochromic anemia without
significant anisocytosis or poikilocytosis. There is no evidence of rouleaux, RBC
agglutination, basophilic stippling, or circulating nucleated red blood cells. The
absolute reticulocyte count is low normal with a reticulocyte production index of
less than 2, suggesting an inadequate bone marrow response/myelosuppression. The
granulocytes are appropriately segmented without overt dysplastic features. While
circulating lymphocytes with plasmacytoid features (eccentrically placed nuclei)
are noted, no definate circdulating plasma cells are identified. The platelets are
quantitatively and qualitatively unremarkable. No significant platelet clumping or
satellitosis is identified and the immature platelet fraction is with normal limits.
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I cannot express enough how grateful I am to have found this site! ANY feedback is literally a gift beyond anything you could imagine. I believe god gave me this challenge because usually after I experience and conquer hardships I take it on as a lifetime passion..
