[Multibilly]

Re: When do symptoms change a MGUS diagnosis?

by Multibilly on Sun Aug 10, 2014 8:09 am

KiwiMum,

The comment below from Dr. Cohen in this thread might help you regarding the osteopenia question with respect to CRAB (note the word "severe" in the response). But please be clear that women (and men) can develop osteopenia for a variety of different reasons other than menopause or bone loss/resorption due to multiple myeloma. This would be another good subject to discuss with your docs.

"Difference between bone lesions, bone thinning & CRAB," Beacon forum discussion started April 7, 2013.

"Lytic bone lesions visible on X-rays or other radiologic tests reflect active myeloma and are an indication for treatment. Severe osteopenia or osteoporosis also is technically included under "B" in the CRAB criteria. However, unless there is a significant history of fractures, I do not usually initiate anti-myeloma therapy for osteopenia alone, and would concur with just Zometa and close observation.

This is an individualized decision that should be made by each patient and his/her oncologist.

Hope this helps.

Dr. Adam Cohen
Abramson Cancer Center, University of Pennsylvania "

[KiwiMum]

Re: When do symptoms change a MGUS diagnosis?

by KiwiMum on Sun Aug 10, 2014 3:22 pm

Howdy,

Yes this does help, I have written an email to my GP stating my concerns, so I will wait for her response. Will keep you posted on her response.

Many thanks for your help.