Treatment FAQ

what is treatment for myeloma

by Carson Konopelski Published 3 years ago Updated 2 years ago
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Corticosteroids help destroy myeloma cells and make chemotherapy more effective. The most common types used to treat myeloma are dexamethasone and prednisolone. Steroids are taken by mouth after eating.

Medication

Stage 3 multiple myeloma: Symptoms, progression, and life expectancy

  • Life expectancy. The approximate life expectancy is how long a person is expected to live after their first treatment.
  • Progression. As multiple myeloma progresses, a person is likely to experience more symptoms of the disease. ...
  • Treatment and coping. A variety of medications may be prescribed for treating stage 3 multiple myeloma. ...
  • Outlook. ...

Procedures

  • Your bone marrow is 60% or more cancer cells.
  • A major imbalance of certain proteins in your blood
  • High level of calcium in your blood
  • Signs your kidneys aren’t working well
  • A low number of red blood cells, called anemia
  • Damage to your bones

Therapy

There's no cure, but treatments can slow its spread and sometimes make symptoms go away. A type of white blood cell called a plasma cell makes antibodies that fight infections in your body. When you have multiple myeloma, these cells multiply the wrong way.

Nutrition

  • Clams
  • Liver
  • Red meat
  • beans
  • chickpeas
  • lentils
  • nuts
  • spinach and other leafy greens
  • asparagus
  • broccoli

More items...

What is the life expectancy of someone with multiple myeloma?

When to start treatment for multiple myeloma?

Is there a complete cure for multiple myeloma?

What is the best diet for myeloma patients?

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What is the most effective treatment for myeloma?

Radiation therapy, which uses high-energy particles or rays to damage cancer cells and prevent them from growing, is proven to effectively treat multiple myeloma in specific situations and/or reduce complications from bone disease. Radiation therapy may also be called radiotherapy, X-ray therapy, or irradiation.

How effective is myeloma treatment?

Treatments for myeloma can be very effective at controlling the disease, reducing symptoms and improving quality of life. Unfortunately, however, myeloma is currently an incurable (terminal) cancer. In general, treatment is given to: Reduce the levels of myeloma as far as possible.

What is the initial treatment for myeloma?

Your first or initial treatment is likely to be a combination of different types of drugs. The team caring for may call this treatment chemotherapy or chemo but it includes other types of cancer drugs not just chemotherapy. These work in different ways to kill the myeloma cells.

How long does myeloma treatment take?

Treatment with a bone-modifying drug is recommended for up to 2 years. At 2 years, treatment may be stopped if it is working. If the myeloma comes back and new bone problems develop, treatment with a bone-modifying drug is usually started again.

Is myeloma a death sentence?

Today, a multiple myeloma diagnosis is no longer a death sentence because our community's efforts have helped bring 11 new drugs through FDA-approval.

What is usually the first symptom of multiple myeloma?

Often, multiple myeloma causes no symptoms until it reaches an advanced stage. Sometimes, it might cause vague symptoms that at first seem to be caused by other diseases. Sometimes, multiple myeloma is found early when a routine blood test shows an abnormally high amount of protein in the blood.

Can you live a normal life with myeloma?

Apart from ongoing monitoring, most myeloma patients are able to live fairly normal lives, with few restrictions on low-impact exercise and other activity.

Can myeloma be cured completely?

Treatment for multiple myeloma can often help control symptoms and improve quality of life. But myeloma usually can't be cured, which means additional treatment is needed when the cancer comes back.

Is myeloma a terminal?

Unfortunately, though, myeloma is currently an incurable (terminal) cancer.

What happens if myeloma is left untreated?

If left untreated, excess amounts of myeloma protein can cause kidney damage or even renal failure. A kidney biopsy might be performed to determine the exact cause of the kidney damage.

Can multiple myeloma be cured if caught early?

There is no cure for multiple myeloma, but the prognosis can be good if doctors catch it early.

Where is the best place to treat multiple myeloma?

Mayo Clinic hematologists are respected for their expertise and experience in diagnosing and treating multiple myeloma.

What is the best treatment for myeloma?

Corticosteroids. Corticosteroid medications regulate the immune system to control inflammation in the body. They are also active against myeloma cells. Bone marrow transplant. A bone marrow transplant, also known as a stem cell transplant, is a procedure to replace your diseased bone marrow with healthy bone marrow.

How to cope with myeloma?

Start with the National Cancer Institute and the International Myeloma Foundation. Maintain a strong support system. Having a strong support system can help you cope with issues and anxieties that might occur. Your friends and family may be willing to offer support.

How many bone marrow transplants are needed for multiple myeloma?

In some situations, doctors recommend two bone marrow transplants for people with multiple myeloma. After your bone marrow transplant, you'll likely receive targeted therapy or immunotherapy as a maintenance treatment to prevent a recurrence of myeloma.

What stage of myeloma is the most aggressive?

Stage I indicates a less aggressive disease, and stage III indicates the most aggressive disease. Your multiple myeloma may also be assigned a risk category, ...

What is the treatment for bone marrow transplant?

If you're considered a candidate for bone marrow transplant, your initial therapy will likely include a combination of treatments, such as targeted therapy, immunotherapy, corticosteroids and, sometimes, chemotherapy. Your blood stem cells will likely be collected after you've undergone a few months of treatment.

How to cope with cancer?

Coping and support. A cancer diagnosis can be shocking and devastating. With time, you'll find ways to cope with the stress and uncertainty of living with cancer. Until you find what works best for you, consider trying to: Learn enough to make decisions about your care. Learn enough about multiple myeloma so that you're able to participate in ...

What tests are used to detect multiple myeloma?

Specialized tests, such as fluorescence in situ hybridization (FISH) can analyze myeloma cells to identify gene mutations. Imaging tests. Imaging tests may be recommended to detect bone problems associated with multiple myeloma. Tests may include an X-ray, MRI, CT or positron emission tomography (PET).

What is the best treatment for myeloma?

Patients with active myeloma or light chain amyloidosis are often given a combination of 2 or 3 drugs. The drugs chosen depend on the patient’s health (including their kidney function) and whether a stem cell transplant is planned. Often, a combination containing bortezomib, lenalidomide, and dexamethasone is used.

What is the treatment for bone disease?

Treatment for bone disease (bisphosphonates) is often started along with chemo. If the areas of damaged bone continue to cause symptoms, radiation therapy may be used. Patients with multiple myeloma also receive supportive treatments, such as transfusions to treat low blood cell counts, and antibiotics and sometimes intravenous immunoglobulin ...

Can lenalidomide be used for myeloma?

This is known as maintenance treatment, and helps delay the return of the myeloma, but it can cause serious side effects. Many drugs and drug combinations can be useful in treating myeloma.

Can a plasma cell tumor be removed?

If the plasma cell tumor is not in a bone, it may be removed with surgery. Chemotherapy (chemo) is only used if multiple myeloma develops.

Is stem cell transplant part of treatment?

A stem cell transplant may be part of treatment. Options for stem cell transplant are discussed in Stem Cell Transplant for Multiple Myeloma. Some patients are given additional cycles of treatment after transplant. This is called consolidation treatment and increases the chance of a complete response ...

Can Bortezomib be used for multiple myeloma?

Combinations containing bortezomib are especially helpful in patients with kidney problems and those whose myeloma cells contain certain high-risk chromosome abnormalities. Many other combinations may be considered as well. For more on these drugs and some of the more common combinations used, see Drug Therapy for Multiple Myeloma. ...

What are the best treatments for myeloma?

What Are Your First-Line Treatment Options for Active Myeloma? 1 effectively control the disease 2 reverse myeloma-related complications 3 decrease the risk of early mortality 4 be well tolerated with minimal or manageable toxicity, and 5 not interfere with the need for stem cell collection.

What is frontline therapy for multiple myeloma?

Ideally, your frontline therapy (also called induction or first-line therapy ) should. effectively control the disease. reverse myeloma-related complications. decrease the risk of early mortality.

What test is used to determine if you have a smoldering myeloma?

These events, if present, will become apparent with standard baseline bone marrow biopsy, serum free light chain assay (the Freelite® test), and MRI.

Is continuous therapy necessary for multiple myeloma?

The benefit of continuous therapy until disease progression has been amply demonstrated to improve survival, but is not necessary or appropriate for every patient. The financial, physical, and emotional implications of continuous therapy must be taken into consideration along with the characteristics of each patient’s multiple myeloma.

Is autologous stem cell transplant considered a maintenance therapy?

Autologous stem cell transplant should be considered early in all transplant-eligible patients. Maintenance therapy after transplant, or continuous therapy after initial treatment, has shown progression-free survival and overall survival benefits.

What is the treatment for multiple myeloma?

Radiation therapy (radiotherapy) Radiation therapy (also known as radiotherapy), the use of x-rays to kill or injure cancer cells, can be used to relieve some of the symptoms of multiple myeloma, such as bone pain.

What is the best way to find myeloma?

A CT scan produces three-dimensional images to see a part of the body in more detail, or to look for areas of bone damage that may not appear on an x-ray. An MRI scan may be used as it can sometimes find myeloma in the bones and outside the bones. Less commonly used scans include FDG/ PET and Sestamibi scans.

How does thalidomide work?

Thalidomide works by blocking the blood supply to cancerous cells and by stimulating the body's immune system to attack myeloma cells. It is taken in tablet form. A relatively new drug called lenalidomide works in a similar way, and is commonly used for people with relapsed myeloma.

What is myeloma in the body?

What is myeloma? Myeloma is a type of blood cancer that develops from plasma cells in the bone marrow. Myeloma is often called multiple myeloma because most people (90%) have multiple bone lesions at the time it is diagnosed. Plasma cells are a type of white blood cell found in the bone marrow. They are part of the immune system ...

How many people will have multiple myeloma in Australia in 2021?

It is estimated that 2423 Australians will be diagnosed with multiple myeloma in 2021. It usually occurs in people aged over 60, and is more common in men. The five year survival rate for myeloma is 51%.

How do you know if you have myeloma?

Myeloma symptoms. bone pain or a broken bone without an obvious injury. frequent infections or an infection that is difficult to overcome. tiredness, shortness of breath or a racing heart. kidney problems. heavy nosebleeds or easy bruising. feeling sick, drowsy or confused. abnormal blood counts.

What blood test is used to diagnose myeloma?

There are a number of blood and urine tests used to diagnose myeloma. The main blood test measures the amount and type of paraprotein in the blood. Paraprotein is an abnormal antibody that myeloma cells produce.

What is the first treatment for myeloma?

First treatment for myeloma. The first treatment for myeloma is likely to be a combination of chemotherapy, targeted cancer drugs and steroids.

How to treat myeloma pain?

Radiotherapy treatment. Myeloma can damage areas of bone, weakening them and it can cause pain. Radiotherapy can help to reduce pain and slow down the bone damage. Find out more.

What are the main treatments for cancer?

The main treatments include targeted cancer drugs, chemotherapy and steroids. Your treatment plan depends on your symptoms and general health.

What are the different types of steroids used for cancer?

Steroids (dexamethasone, prednisolone, methylprednisolone and hydrocortisone) Steroids are used in different ways during cancer treatment. Find out about how you might have them, possible side effects and other important information.

Does chemotherapy destroy cells?

High dose chemotherapy destroys cancer cells, but also damages the stem cells that make blood cells in the bone marrow.

How to treat multiple myeloma?

Steroids. Steroids are a staple of multiple myeloma treatment and are used at all stages of the disease. In high doses, steroids can kill multiple myeloma cells. They can also decrease inflammation by stopping white blood cells from flowing to the disease-affected areas, helping relieve pain and pressure.

What is the mainstay of the immunotherapy regimen used to treat multiple myeloma?

Immunomodulatory drugs (IMiDs) This class of immunotherapy drugs is the mainstay of standard regimens used to treat multiple myeloma. IMiDs work by regulating certain aspects of the immune system. They can activate certain immune cells, prevent certain types of growth signals for cancer cells and directly kill myeloma cells.

What is monoclonal antibody?

Monoclonal antibodies are a type of immunotherapy. These drugs enhance the cancer-fighting abilities of a patient’s own immune system by introducing antibodies into the body that target specific proteins found on multiple myeloma cells.

What are the best drugs for multiple myeloma?

The main types of drug therapies used to treat multiple myeloma are proteasome inhibitors, immunomodulatory drugs (IMiDs), steroids, histone deacetylase (HDAC) inhibitors, antibodies and chemotherapy. Each works in a different way, but with the common goal of controlling and destroying multiple myeloma cells.

How does chemotherapy work?

Chemotherapy uses drugs to treat cancer by killing cells that are in the process of dividing. Because cancer cells grow and divide more frequently than most normal, healthy cells, they are affected more than normal cells. However, some healthy cells will be affected by chemotherapy as well.

Can you give Velcade to someone who has already received Velcade?

Velcade is often given in combination with other drugs and can be given to patients who have previously received Velcade. Kyprolis (carfilzomib) An IV drug (used either in combination or alone) given to patients who have previously received at least one other treatment for multiple myeloma.

Do drugs for multiple myeloma fit the classification of existing drugs?

Some of the newest drugs used to treat multiple myeloma do not fit the classification of any existing drugs. These new drugs have a novel mechanism of action, which means that they work in different ways than drugs in the other classes.

What is myeloma cancer?

Used with Permission. Contact artist at www.teresewinslow.com external icon for licensing. Myeloma, also called multiple myeloma, is a cancer of the plasma cells. Plasma cells are white blood cells that make antibodies that protect us from infection. In myeloma, the cells grow too much, crowding out normal cells in the bone marrow ...

What is a multiple myeloma cell?

Multiple myeloma cells are abnormal plasma cells (a type of white blood cell) that build up in the bone marrow and form tumors in many bones of the body. © 2014 Terese Winslow LLC, U.S. Govt. has certain rights. Used with Permission.

How old is too old to get myeloma?

Age is the most significant risk factor for developing myeloma. People younger than 45 years old rarely develop the disease. Men are more likely than women to develop myeloma, and myeloma is more than twice as common among Black people as among White people.

Where does myeloma spread?

Multiple myeloma, the most common type of plasma cell tumor, develops in the bone marrow and can spread throughout the body. Solitary plasmacytoma is a single plasma cell tumor that develops in one part of the body, often in a bone. Extramedullary plasmacytoma is a plasma cell tumor that develops outside of the bones in soft tissue, ...

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Diagnosis

Treatment

Clinical Trials

Alternative Medicine

Medically reviewed by
Dr. Rakshith Bharadwaj
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment includes medication, radiotherapy, or bone marrow transplant.
Medication

Chemotherapy: To kill rapidly multiplying cells; is non-specific and can also kill healthy fast-growing cells.

Vincristine . Doxorubicin


Targeted therapy: Destroys cancer cells only.

Bortezomib . Carfilzomib


Corticosteroids: To control inflammation in the body.

Prednisone . Dexamethasone

Procedures

Bone marrow transplantation: To replace the bone marrow with a healthy one.

Therapy

Radiation therapy:Given to quickly shrink the cancerous cells or tumor. High energy beams X-ray or protons are used for the therapy.

Nutrition

A balanced diet is recommended for persons with multiple myeloma.

Foods to eat:

  • Foods rich in fiber: such as whole grains, vegetable and fruits such as apples, pears and figs, to prevent constipation
  • Foods rich in fibre: such as whole grains, vegetable and fruits such as apples, pears and figs, to prevent constipation
  • Foods rich in iron such as legumes, lean meats, and dark, leafy greens

Foods to avoid:

Patients of multiple myeloma are more prone to infections and should avoid:

  • Uncooked meat
  • Unwashed vegetables and fruits
  • Unpasteurized drinks

Specialist to consult

Oncologist
Specializes in the diagnosis and treatment of cancer.
Hematologist
Specializes in the study of the blood and blood disorders.

Coping and Support

Preparing For Your Appointment

  • If you're experiencing symptoms, treatment can help relieve pain, control complications of the disease, stabilize your condition and slow the progress of multiple myeloma.
See more on mayoclinic.org

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