Recurrent multiple myeloma
What is Recurrent Multiple Myeloma?
Recurrent multiple myeloma is a cancer of the bone marrow. It's a type of plasma cell cancer that affects white blood cells. It's the second most common type of myeloma, and occurs when cancer returns after treatment.
Recurrent multiple myeloma is usually diagnosed when an individual experiences significant fatigue, bone pain, frequent infections, or a decline in general wellbeing. In some cases, symptoms may not appear until after the cancer has returned. The only way to accurately diagnose recurrent multiple myeloma is through a blood test, bone marrow biopsy, or imaging test.
Risk Factors and Causes
The exact cause of multiple myeloma is unknown, but there are some potential risk factors that can increase an individual's chances. These include older age (usually over 65), a family history of the disease, and a weakened immune system due to HIV or chemotherapy.
Treatment
Treating recurrent multiple myeloma depends on the patient's individual situation. Doctors might suggest a combination of chemotherapy, radiation therapy, and/or stem cell transplantation. Some approved treatments may include:
- Lenalidomide and dexamethasone
- Bortezomib and dexamethasone
- Carfilzomib and dexamethasone
- Thalidomide and dexamethasone
- Ixazomib with lenalidomide and dexamethasone
If the cancer has not been adequately treated, a stem cell transplant may also be recommended.
Coping and Support
Living with recurrent multiple myeloma can be difficult. However, there are steps that can be taken to make the experience more manageable. It's important to stay informed about the disease and familiarize yourself with available resources. Additionally, it's important to stay connected with friends and family for emotional support. Psychological counseling can also be beneficial for those dealing with the symptoms of multiple myeloma.