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May 23, 2013
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Myeloma (cont.)

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Myeloma Treatment

Primary health care providers will usually refer people with myeloma to a hematologist or oncologist.

  • Although medical treatments are fairly standardized, different doctors have different philosophies and practices in caring for their patients.
  • A person may want to consult with more than one specialist before selecting the hematologist-oncologist.
  • Family members, friends, and health care providers are good resources to get referrals. Many communities, medical societies, and cancer centers offer telephone or Internet referral services.

During a consultation with a hematologist-oncologist, the person will have an opportunity to ask questions and to discuss the treatments available.

  • The doctor will present each type of treatment, give the pros and cons, and make recommendations based on published treatment guidelines and the doctor's experience.
  • Treatment for myeloma depends on the stage. Factors such as age, overall health, and recurrence of myeloma are included in the treatment decision-making process.
  • The decision of which treatment to pursue is made between the person's hematologist-oncologist (with input from other members of the care team) and family members, but the decision ultimately rests with the patient.
  • For optimal treatment results, a person should be certain to understand exactly what will be done and why, and what to expect from the treatments that have been decided upon.

Like all cancers, myeloma is most likely manageable when it is diagnosed early and treated promptly.

  • A treatment plan is individualized for a specific situation.
  • The most widely used therapies are chemotherapy, corticosteroids, and/or radiation therapy.
  • Newer medications that are active against myeloma may be offered, either as single therapy or together with chemotherapy.
  • Supportive care is given to treat complications and symptoms. Some potential supportive care medications include growth factors for anemia and medications to treat bone disease.
  • Some patients may be referred for additional treatment, such as stem cell transplantation.

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Multiple Myeloma - Symptoms

The eMedicineHealth physician editors ask:

The symptoms of multiple myeloma can vary greatly from patient to patient. What were your symptoms at the onset of your disease?

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Read What Your Physician is Reading on Medscape

Myeloma »

Multiple myeloma (MM) is characterized by neoplastic proliferation of plasma cells involving more than 10% of the bone marrow.

Read More on Medscape Reference »


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