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The reason that I chose not to have a bone biopsy at this time is, I asked my hematologist/oncologist if my blood analysis was at current levels, what difference would it make in my treatment regimen? Would there be active intervention rather than “watch and wait.” He said no, it would not make any difference and we would continue to watch and wait. The bone marrow biopsy gives them diagnostic information which your physician may or may not feel is necessary. It’s worth having a discussion about how the results would change the trajectory of your mother‘s care before she is subjected to that. It is a minimal risk to her health, but I always opt to take the most conservative approach that makes sense to me and to my physician at the time.
https://pmc.ncbi.nlm.nih.gov/articles/PMC6334115/
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I also take the most conservative approach, however at the cancer hospital in my area I opted for the test. The M spike and diagnosis is not a known factor. According to the literature this is an uncommon cancer and my hematologist wanted to know exactly where we were when I went to him. It will allow them to intervene at an appropriate time if they have good benchmarks to start with. In my case the M spike has been in my blood since 2019. I read stories where people never convert, some convert in 5- 7 years etc. Best to take the recommendation of the cancer specialist. Ask for conscious sedation and you won't even fell it. No side effects and gives your oncologist valuable information to treat you specifically.
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Our haemotologist performed bone marrow aspiration and biopsy yesterday.The bone marrow aspiration i have attached hereby.Can you please explain if there is any abnormalities in this you see regarding MM