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MGUS with Polycythemia Vera (PV)

Blood Cancers & Disorders | Last Active: May 6, 2023 | Replies (38)

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@stljack

Finally received the results of my BMB. Polycythemia Vera was confirmed. Additionally, my MGUS has progressed. My plasma cells have increased to 10-15% & my kappa/lambda light chain ratio is 0.05. M-spike is 2.5. I interpret this as intermediate risk smoldering myeloma. I have an appointment with my hematologist this Wednesday to discuss.
My biggest question is how common is it to have PV & MGUS (or SMM) at the same time? I assume it is better to focus on the PV and did have a phlebotomy a week ago (1 unit of blood) before the BMB. Blood tests are scheduled during my upcoming appointment. Thanks for your response.

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Replies to "Finally received the results of my BMB. Polycythemia Vera was confirmed. Additionally, my MGUS has progressed...."

Don't know the answers to any of your questions. I have SMM too, with an M spike of 5, and but don't have the results of my cuurent labs yet. My major problem is iron deficiency anemia. I was on Methotrexate for a few years for RA and quit. It was making my anemia worse, Had to have a lot of blood transfusions. I hope that you have a really good hematologist. On FB, if you are on it there is a great group for SMM.

I have had MGUS, then smouldering myeloma since 2013 with very small increases. 2 years ago I found out I now have polycythemia vera. I am watch and wait on the myeloma but have labs often and take Hydroxyurea for the pv. Pv is an amyloid problem and myeloma is a myeloid problem, both in bone marrow but unrelated. Aren't we special?