Multiple Myeloma
What is Multiple Myeloma?
Multiple myeloma, also known as myeloma, hematologic cancer, or cancer of the blood is a plasma cell cancer, a type of white blood cell made in the bone marrow that is responsible for creating antibodies. A Multiple myeloma diagnosis means a group of these plasma cells has become cancerous and is multiplying. This cancerous multiplication of plasma cells raises the the level of abnormal proteins in circulating blood, and reduces the space available in the bone marrow for making healthy plasma cells . Health problems caused by multiple myeloma can affect your bones, immune system, kidneys and red blood cell count. The lifetime risk of getting multiple myeloma is 1 in 149 (0.67%).
What different
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- Blood counts reveal the levels of red cells, white cells and platelets in the blood. If multiple myeloma is present in the bone marrow, some of these counts will be low.
- Quantitative immunoglublin test measures the blood levels of the different antibodies. There are several different antibodies in the blood: IgA, IgD, igE, IgG and IgM. If multiple myeloma occurs, one type may be abnormally high and while others will be abnormally low.
- Serum Protein Electrophoresis tests measure specific proteins in the blood to help identify the presence of multiple myeloma. There are several different abnormal proteins that could be identified in the test: monoclonal immunoglobin, M protein, M spike, and paraprotein.
- Serum Free Light Chain test measures the amount of light that passes through the blood. This could be most helpful in dectecting light chain myeloma.
- Beta-2 microglobulin test measures the amount of beta-2-microglobulin in blood. Increased levels of beta-2-microglobulin are present in multiple myeloma.
- Blood chemistry tests determines levels of several chemical compounds in the blood at one time. Of particular importance in myeloma are levels of blood urea nitrogen (BUN), calcium, creatinine, and lactate dehydrogenase (LDH).
- Bone
There are often no symptoms in the early stages of myeloma. In some cases, myeloma may be exposed by an accident in the course of routine blood testing and if symptoms are present they may be indistinct and related to those of other medical conditions.
Multiple Myeloma is a form of cancer which affects the plasma cells of the body, which are white blood cells. Multiple Myeloma, first described in 1848, is a disease “characterized by a proliferation of malignant plasma cells and a subsequent overabundance of monoclonal paraprotein.” To understand how Multiple Myeloma affects an infected person’s plasma cells, it helps to have a general understanding of how normal blood cells are formed and how they act. Most blood cells develop from stem cells, which can be found in bone marrow (soft material inside our bones – the “filling”). Stem cells mature into white blood cells, red blood cells, or platelets.2 The purpose of white blood cells is to fight off infection, while
This test is used to detect the hemolytic activity in the bacteria. A darkish green color on the media around the bacteria would represent incomplete hemolysis. A transparent media around the bacteria colony represents complete lysis of the red blood cells. If no change is observed around the bacteria colony then the bacteria is non-hemolytic. For my
To state the purpose of the following hematologic tests: total white blood cell count, differential white blood cell count, total red blood cell count,
People who have Myelodysplastic Syndrome may not experience symptoms at the beginning of the disease. However, there are three main signs that can develop and alert healthcare providers that something is wrong. One of these is a low red blood cell count, or Anemia. Most patients that have myelodysplastic syndromes exhibit this indicator when first diagnosed. A normal red blood count can vary between 4.0 and 6.1 million red blood cells per microliter of blood in the body, depending on the age and sex of the patient. A red blood cell count lower than normal is characteristic of Anemia (Cafasso, Jacquelyn, and Gotter). Not only is Anemia shown by constantly low hematocrit, but it can also be characterized by constantly low hemoglobin. A normal hemoglobin count is between 12.0 and 15.5 grams per deciliter of blood for females, and 13.5 to 17.5 grams per deciliter of blood for males. Levels lower than these show a low hemoglobin level (Mayo Clinic, Hemoglobin Test). Hemoglobin is the protein in blood that carries oxygen to the different tissues in the body.
Multiple myeloma (MM) is a rare life-threatening cancer that affects the white blood cells known as plasma cells that are found in the soft, spongy tissue at the center of the bones, called bone marrow. The plasma cells are useful in fighting infections by producing antibodies that recognize and attack germs. The plasma cells are transformed into malignant myeloma cells when there are high levels of M proteins or better known as the production of abnormal antibodies from a result of myeloma cells. These M proteins multiple and block out normally functioning antibodies and the end results are bone damage or kidney problems. An individual can have blood tests or urine tests done to determine if they have multiple myeloma. In the article, “The work of living with a rare cancer: multiple myeloma” the authors explain how this type of cancer still remains incurable, but treatable that patients can expect to live longer, approximately five to seven years than what two decades ago. This was not expected for patients diagnosed with multiple myeloma during the 1990s, since patients were expected to only live about two and a half years after being diagnosed. Treatment for multiple myeloma throughout the years has advanced greatly yet a cure is still to be discovered. This essay will focus of the causes, the sign and symptoms, how multiple myeloma is detected and diagnosed, and how multiple myeloma is treated.
CBC (complete blood count), is a blood test that may be suggested by a medical professional in order to gain useful information on a patient's blood cells. This can include cell counts for the different types and the varying amounts of nutrients in the blood. If the count for a cell type is too high or low, it may be a sign of a disease. So CBC is an essential tool for a doctor to diagnose a patient's health condition.
Multiple myeloma or blood plasma cancer is characterized by increased blood vessel formulation in the bone marrow that is a prognostic factor in survival. One treatment approach used for multiple myeloma is stem cell transplantation with the patient’s own stem cells. The following data represent the bone marrow microvessel density for a sample of 7 patients who had a complete response to a stem cell transplant as measured by blood and urine tests. Two measurements were taken: the first immediately prior to the stem cell transplant, and the second at the time of the complete response. Use these data to answer questions 5 through 7.
Low blood counts are a key feature of myelodysplastic syndrome which is the reason for the many symptoms these patients experience. The three types of cytopenia that people with Myelodysplastic Syndrome experience are anemia, neutropenia, and thrombocytopenia which are all low blood cell counts of the three blood cells. Cytopenias can cause anemia, the inability to fight off infections, easy bruising, and spontaneous bleeding. This can be due to the lack of blood cells in the blood stream, but also from dysplasia of the blood cells from the disease. If the cell is deformed, it may not be able to provide the same function as a healthy cell, resulting in the same effect as having cytopenia. Myelodysplastic syndrome is a gradual process and is
• A bone marrow sample helps find signs of cancer that could be affecting blood production.
Monoclonal gammopathy of undetermined significance (MGUS) is a pathological condition in which plasma cells undergo a proliferative disorder associated with a life-long risk of progression to malignant multiple myeloma (MM) [1, 2]. MGUS is defined as having serum M-protein (monoclonal immunoglobulin) < 3 g/dL, less that 10% clonal plasma cell population in the bone marrow, and, most importantly, the absence of end-organ damage [3, 4]. In people aged 50 years and older, MGUS is the most common plasma cell dyscrasia [5]. At present, a life-long clinical follow-up of individuals diagnosed as having MGUS is suggested because patients often remain stable for years without treatment. Although little is known about the events that promote the evolution of MGUS and its progression to MM [6-8], patients who develop MM have been, in most cases, previously diagnosed with MGUS [1, 2, 7, 9, 10].
Most of blood cells (red, white blood cells and platelets) are developed from bone marrow in normal and control condition. In body functions of blood cells is: white blood cells are required to resist infection; red blood cells are necessary to prevent anemia and platelets keep the body safe from easily bruising and bleeding. In leukemia, abnormal production of blood cells from bone marrow occurs; treatment of which is possible by bone marrow replacement. Many types of leukemia such as chronic myelogenous leukemia, acute myelogenous leukemia, chronic lymphocytic leukemia and acute lymphocytic leukemia are there
Lab tests include blood tests, used to detect anaemia and the increase in white blood cells which indicates inflammation (or infection), and stool tests where a sample of faeces is collected from a
Other tests may include a urinalysis, heme occult stool study, reticulocyte count, haptoglobin level, SPEP and UPEP (serum and urine protein electrophoresis), and peripheral blood smear
Importance of careful assessment of oral cavity for suspicious lesions for early detection of multiple myeloma.1