The Myeloma Beacon

Independent, up-to-date news and information for the multiple myeloma community.
Home page Deutsche Artikel Artículos Españoles

Forums

Questions and discussion about monoclonal gammopathy of undetermined significance (i.e., diagnosis, risk of progression, living with the disease, etc.)

Re: Have I progressed from MGUS to multiple myeloma?

by Debic on Sun Mar 20, 2016 10:57 am

I have another question. What makes my MGUS light chain?

IgG - 698
IgA - 154
IgM - 72

Serum Kappa - 8.17
Serum Lambda - 1.58
Kappa/Lambda free - 5.17

B2M 1.54

No M-spike
Bone marrow zero

All CBC normal

Debic
Name: Debi
Who do you know with myeloma?: Myself
When were you/they diagnosed?: August 2015
Age at diagnosis: 57

Re: Have I progressed from MGUS to multiple myeloma?

by Multibilly on Sun Mar 20, 2016 2:48 pm

Hi Debi,

You might want to read this posting. That will do a good job of explaining it.

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

Re: Have I progressed from MGUS to multiple myeloma?

by Debic on Sun Mar 20, 2016 7:00 pm

Thanks multibilly,

So I am kappa free light chain? My chances of it going to multiple myeloma are greater? Just trying to wrap my head around this when I got breast cancer 9 years ago I was Her 2 positive which meant it was much more aggressive. I guess my body just likes to make cancer. Celebrated my 36 wedding anniversary today and wonder if I will have any more.

Debic
Name: Debi
Who do you know with myeloma?: Myself
When were you/they diagnosed?: August 2015
Age at diagnosis: 57

Re: Have I progressed from MGUS to multiple myeloma?

by Multibilly on Sun Mar 20, 2016 7:42 pm

Debi,

Yes, it appears to be kappa-type light chain MGUS, provided that your doc has already given you a diagnosis of light chain MGUS.

I realize you are worried about this diagnosis, but the chance of light chain MGUS progressing to symptomatic multiple myeloma is quite low. You might want to read through this thread and note Dr. Kapoor's statement on the risk of progression for light chain MGUS:
Light chain MGUS may progress through idiopathic Bence Jones proteinuria to light chain multiple myeloma or AL amyloidosis, or light chain deposition disease. The estimated risk of progression is much lower, at 0.3 percent per year.

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

Re: Have I progressed from MGUS to multiple myeloma?

by Debic on Tue Mar 22, 2016 5:30 pm

I had full body X-rays today. Will get results next week. I have MGUS. If I have lesions, will I change to multiple myeloma?

Debi

Debic
Name: Debi
Who do you know with myeloma?: Myself
When were you/they diagnosed?: August 2015
Age at diagnosis: 57

Re: Have I progressed from MGUS to multiple myeloma?

by Multibilly on Tue Mar 22, 2016 6:18 pm

Debi,

By definition, if your xray revealed lytic lesions that were caused by your monoclonal gammop­athy, you would then be diagnosed with symptomatic multiple myeloma at the time. But note that it is pretty unlikely that your xray will show any problems given that your numbers aren't that far out of range.

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

Re: Have I progressed from MGUS to multiple myeloma?

by Debic on Wed Mar 30, 2016 6:28 pm

Multibilly,

You are right. Just got back from the doctor and she said x-rays were clear of any lytic lesion. She said we will do another blood test in May.

Debi

Debic
Name: Debi
Who do you know with myeloma?: Myself
When were you/they diagnosed?: August 2015
Age at diagnosis: 57

Previous

Return to MGUS