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What else to do for a plasmacytoma other than radiation?

by Ahamed ismail on Thu Jun 12, 2014 2:45 pm

My dad has been suffering from a plasmacytoma for 6 months. The doctor didn't know what he had until he got his surgery done. After further tests, we came to know that he has plasmacytoma, so it has become 12 days continuously we are taking treatment of radiation.

I hope I can get any tactical response from anyone about what can I do further to cure this disease please.

Ahamed ismail

Re: What else to do for a plasmacytoma other than radiation?

by Dr. Jacob Laubach on Tue Jul 08, 2014 10:11 pm

Dear Ahamed,

From the standpoint of diagnostic evaluation, it's important to determine whether your father's condition represents a solitary (or single) plasmacytoma versus multiple myeloma with an associated plasmacytoma, which could be one of several plasmacytomas. This distinction is made on the basis of appropriate imaging studies and bone marrow biopsy. The imaging studies typically include a skeletal survey, and in some instances either MRI or CT imaging.

If the condition is determined to be a solitary plasmacytoma, treatment is administered with curative intent and the mainstay of treatment is radiation therapy. There are rare instances in which the plasmacytoma does not respond to radiation and in these instances chemotherapy is necessary.

If the condition is determined to be multiple myeloma with a plasmacytoma or multiple plasmacytomas as part of the clinical presentation, the management involves radiation in some instances, along with chemotherapy in almost all such cases. Radiation is administered in situations where the plasmacytoma results in symptoms such as pain, joint immobility, or impingement on the spinal cord.

Dr. Jacob Laubach
Name: Jacob Laubach, M.D., M.P.P.
Beacon Medical Advisor

Re: What else to do for a plasmacytoma other than radiation?

by Rneb on Wed Jul 09, 2014 11:28 am

I had : Surgical excision of the mass (en bulk) with wide margins; 49 total GY units of Radiation to the site and to another "suspected" site; followup chemo (various and ongoing); Zometa infusions; and Stem cell collection "Just in case" ( enough for 4 total Units / transplants).

Your (Father's) mileage may vary.

Good luck.

Rneb


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