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Multiple myeloma

Overview Symptoms Treatment Prevention
Alternative Names:
Plasma cell dyscrasia; Plasma cell myeloma; Malignant plasmacytoma; Plasmacytoma of bone
Treatment:

The goal of treatment is to relieve symptoms, since chemotherapy and even transplant rarely lead to permanent cure. Complete remission is unusual.

People who have mild disease or in whom the diagnosis is in doubt are usually observed without treatment. Some people have a slow-developing form which takes years before it causes symptoms. When the disease advances or causes symptoms, treatment is begun.

Chemotherapy and localized radiation therapy for relief of bone pain or treating a bone tumor may be useful. Bone marrow transplantation in younger patients is sometimes used, but the long-term results of this treatment are not known.

There are many medical studies (clinical trials) to look for better ways to treat multiple myeloma and some promising new treatments being tested, so you should discuss participation with your doctor.

Symptoms of high serum calcium levels are treated, and dehydration is avoided to help maintain proper kidney function.

Support Groups:
The stress of illness can often be helped by joining a support group where members share common experiences and problems. See cancer - support group.
Expectations (prognosis):
The average (median) survival of people with multiple myeloma is about 3 years, but this depends on the patient's age and the stage of disease. Some cases are very aggressive, while others take years to progress -- so discuss your individual condition with your doctor.
Complications:
Calling your health care provider:
Call your health care provider if you experience decreased urine output.

Call your health care provider if you have multiple myeloma and infection develops, or numbness, loss of movement, or loss of sensation develops.
Cryoglobulinemia - of the fingers
Cryoglobulinemia - of the fingers
Immune system structures
Immune system structures
Antibodies
Antibodies
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