possible Myeloma ? big shocking surprise !!

Posted by redgiles @redgiles, Sep 26, 2022

Just received 2nd blood work results .... Quest's 1st blood work "Interpretation" was Possible monoclonal protein (M-protein) present. Suggest serum immunofixation.

Had 2nd blood work done for this -- IMMUNOFIXATION, SERUM
IFE Interpretation -- IgG lambda monoclonal band present. Have read so much about this, my head is spinning.

PCP suggested making an appointment with Hematologist. Duhhh, of course.

History: I am 24 year breast cancer survivor. Had chemo, surgery and radiation. 24 years no issues, now this. Previous lived in Houston, moved to Hill Country (San Antonio) area in 2009. My original treatments/surgery were done in Clear Lake area and Deke Slayton Cancer Center. We moved to Midtown in 2011 and transferred my continuing care (not an easy task !!) to M D Anderson/Houston. I continue to have my annual mammogram & OV at MDA Houston as well as seeing an endocrinologist for bone density/blood work at MDA Houston.

There is a UT Health MD Anderson in San Antonio that has a few specialists in hematology/oncology. I have sent all the blood work results to MD Anderson Houston for their opinion on how to proceed next. Asked for referral to specialists in SA. If necessary, will go to Houston and have tests/treatment if necessary.

I am at the beginning of this adventure. Would love some feedback from others with similar diagnosis.

This appears to run from MGUS to serious situation. Just got 2nd blood work back yesterday, so I am just at beginning of this journey.

Interested in more discussions like this? Go to the Blood Cancers & Disorders Support Group.

@jjtex

Hi Jackie,

Biggest congratulations and much admiration on two decades of crushing breast cancer.

I just saw this but want to let you know I live in Spring, and am happy to help in ANY way when you come to Houston and MDA.

I was treated for Stage IV colon cancer at MDA (but my surgeons consulted with Mayo docs on my messed-up labs!), and I was on a surgical stepdown floor with some advanced breast cancer patients. This was due to COVID crowding, but I’m forever grateful because we all helped each other through some rough things.

Feel free to email me directly.

BTW, my mom worked at JSC for 30 years so very familiar with Clear Lake.

Jen

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Jen:

Good to hear from you. I now live north of San Antonio in Spring Branch.

We still have a home in Houston, near Hobby Airport. Hop, skip and jump to MDA.

Your Mom might know of one of my good friends ..... retired Astronaut - Anna Lee Fisher.
She was in the first group of women Astronauts (1978). She flew as Mission Specialist on STS-51-A in 1984. First Mother in Space. She retired in 2018. Met her about 35 years ago. Our daughters were in the same gymnastics class.

Jackie Geist

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I was also given a diagnosis of MGUS. This was about nine months ago shortly before my husband died. I was in such a stupor I certainly didn't respond to this, nor did I understand it. At this point I didn't care. But I did keep up with my two blood draws. Mines a little different from yours some thing about the CLL, and a few other things I don't understand. I'm praying for you to have a good outcome for what you are going through. I seem to be in a holding pattern, so I guess it's good.
I had cancer diagnosis July 2012, which I had surgery right away and then went to treatment chemo and radiation. I wish I had tried to find another way around radiation. This was kind of rough on me, and I came away with some bad side effects. But I'm still here! Quality of life is not what I would like it to be but I'm still doing pretty good in spite of it all!

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@gingerw

@redgiles Welcome to Mayo Clinic Connect.

First, congratulations on your 24 year thriver of breast cancer! By your words, you take your health seriously, and that is something to be proud of!

It certainly can be scary to get news like you have, about possible multiple myeloma. But before you get to that stage, there are a couple lower levels. MGUS [monoclonal gammopathy of unspecified significance] is the first level. There are several tests that can be done to see what is going on and give you a picture where you stand. This is a level where many people stay for many years, never progressing beyond that. Personally, I wouldn't automatically think the worst of jumping right to multiple myeloma. The next stage is what is called SMM [smoldering multiple myeloma] before active myeloma.

I know it can be anxiety producing. Here is an article from Mayo Clinic about multiple myeloma, but it does also talk about the lower level of MGUS and SMM, which is where you may want to focus. As a cancer thriver, you understand the need for watching your health, and I would not be truthful if I say "not to worry" because that is what we do! Take a deep breath and go one step at a time. Follow the guidelines of your medical team, ask questions of them, and of me! There are tests to eliminate what is not going on.
https://www.mayoclinic.org/diseases-conditions/multiple-myeloma/symptoms-causes/syc-20353378
Now, pull up a chair, grab a cuppa tea or coffee. Help yourself to a snack, and let's talk. What questions may I answer for you?
Ginger

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I'm also a 3b-stage cancer survivor of 10 years. With the diagnosis of MGUS. I've had a bone marrow biopsy and not have developed MM. just in a holding pattern for watching in case of development. It's been about 7-9 months since the diagnosis and am doing as well as can be expected.
What foods would be best to eat to prevent MM? Thanks 😊

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@red53

I'm also a 3b-stage cancer survivor of 10 years. With the diagnosis of MGUS. I've had a bone marrow biopsy and not have developed MM. just in a holding pattern for watching in case of development. It's been about 7-9 months since the diagnosis and am doing as well as can be expected.
What foods would be best to eat to prevent MM? Thanks 😊

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@red53 I am not aware of specific foods to prevent MM. Following a general healthy diet, moderate exercise plan, and not dwelling on the future works for many. The vast majority of people do not advance beyond MGUS, and for others it is a very slow advancement. Staying on top of your situation will go a long way to easing concerns.
Ginger

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@donyork

I was diagnosed with MGUS around five years ago. Have just been having lab work done every three months. I am scheduled for my third bone marrow soon. My anemia is getting really bad.doctor is probably going to put me on medication. I only have little neuropathy. I have stage three kidney disease also. Has been stable for a long time. I am tired all the time. Will be 83 in December.

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Donyork, I was told by an oncologist/hematologist about 7 years ago that I "could not have bone marrow or any other such cancers because they are just too rare". Today we discovered a series of new bone lesions on my skull, inner mouth and pelvis. Say a word of thanks to your supporters, oncologists, etc for their words to keep you going. My largest spot is just above my left eye on the hairline, about the size of a 50-cent piece. And another two groups of 6 and 8 smaller spots, and about 200 Torres del Muir over the rest of my head and shoulders, down to my crotch. I will be 83 in April, tired all the time, mouth full of tooth and gum pain with 6 T-M in lower mouth, and a splitting area of my upper mouth. COVT, LGMDr23, colorectal dx, Chronic leukemias and anemias, Ankylosing spondylitis, etc. My PCP is not ambitious enough to help me. oldkarl

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@oldkarl

Donyork, I was told by an oncologist/hematologist about 7 years ago that I "could not have bone marrow or any other such cancers because they are just too rare". Today we discovered a series of new bone lesions on my skull, inner mouth and pelvis. Say a word of thanks to your supporters, oncologists, etc for their words to keep you going. My largest spot is just above my left eye on the hairline, about the size of a 50-cent piece. And another two groups of 6 and 8 smaller spots, and about 200 Torres del Muir over the rest of my head and shoulders, down to my crotch. I will be 83 in April, tired all the time, mouth full of tooth and gum pain with 6 T-M in lower mouth, and a splitting area of my upper mouth. COVT, LGMDr23, colorectal dx, Chronic leukemias and anemias, Ankylosing spondylitis, etc. My PCP is not ambitious enough to help me. oldkarl

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https://www.facebook.com/photo?fbid=488680226637801&set=pb.100064874824712.-2207520000. Please call this number to find your nearest qualified Multiple Myeloma specialist. Ask the person who answers for as much help as they can give. I am assuming that you will need help getting there and they will need as much records of your results as possible. Those skull lesions and amenias are very important. Please keep us dated. I wish you all the help possible. They need to make an urgent referral.

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@red53

I'm also a 3b-stage cancer survivor of 10 years. With the diagnosis of MGUS. I've had a bone marrow biopsy and not have developed MM. just in a holding pattern for watching in case of development. It's been about 7-9 months since the diagnosis and am doing as well as can be expected.
What foods would be best to eat to prevent MM? Thanks 😊

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Red, you might be interested in this discussion:
- What’s the science on diet and MGUS/SMM? https://connect.mayoclinic.org/discussion/whats-the-science-on-diet-and-mgussmm/

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@gingerw

@red53 I am not aware of specific foods to prevent MM. Following a general healthy diet, moderate exercise plan, and not dwelling on the future works for many. The vast majority of people do not advance beyond MGUS, and for others it is a very slow advancement. Staying on top of your situation will go a long way to easing concerns.
Ginger

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Red, I am seen at CARTI in Little Rock Arkansas. My oncologist/hematologist was unimpressed by the theories which advance the idea that there are spices and/or foods that will slow or stop the progression of MGUS, stating that there is insufficient data to support this.
My general philosophy is not to worry about things I can’t control. I do believe that a healthy diet contributes to overall good health and I think that is supported by data…of course that keeps changing.
I try to watch my weight (sometimes I watch it going in the wrong direction !) , exercise irregularly. If you avoid the stuff we know is toxic, that can’t hurt and will better prepare you to fight off any physical challenge.
I have type 2 diabetes so I actively work on reducing my A1C.
This wait-and-see business is maddening, but there are things we can do to optimize our health and our ability to fend off disease. Everything that I have read about MGUS is that patients mostly die of something else besides MM. Optimizing our overall health should be our focus. At least that’s my perspective. We had quite a discussion on this in another thread and I decided to stay the course.
Glad you found us. Sorry you share our focus.
Patty

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@redgiles

@gingerw This morning I sent a message to my MDA Endocrinologist PA -- asking what to expect going forward. Would the myeloma team contact me soon. She answered that my appointment would show up in my chart. She said she would contact them to see if they could hurry it along.

Jackiae

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@gingerw -- Hey Ginger !! Checking in ..... my endocrinologist PA at MDA Houston pushed through and got me a consultation appointment with Lymphoma/Myeloma Dept. for 11/3/22 @ 11am with Dr. Neeraj Saini !! We drove in from our home north of San Antonio the day before. We are staying at our other house near Hobby Airport. My husband (Kurt) went with me to appt. Dr. Saini very easy going, clear and concise in conversation. After our discussion, I went to lab and had many vials of blood taken. He also set up appointment for tomorrow - Tuesday, 11/8/22 @ 10am for X-Ray of bones. Also was sent home with items needed for 24 hr urine collection, which I have done and will return to lab before X-Rays. The bloodwork results started hitting "My Chart" before we left the hospital. Lots of line entries of results. Two other doctors made notes about certain lines. Dr. Saini wants to do bloodwork every 3 months. I expect to hear from Dr. after results come in from Urine and X-Rays. We are headed back home on Thursday 11/10, I have a haircut scheduled in New Braunfels. Rescheduled from 11/2 as I was headed to Houston. Hope all is well with you. Jackie

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@redgiles

@gingerw -- Hey Ginger !! Checking in ..... my endocrinologist PA at MDA Houston pushed through and got me a consultation appointment with Lymphoma/Myeloma Dept. for 11/3/22 @ 11am with Dr. Neeraj Saini !! We drove in from our home north of San Antonio the day before. We are staying at our other house near Hobby Airport. My husband (Kurt) went with me to appt. Dr. Saini very easy going, clear and concise in conversation. After our discussion, I went to lab and had many vials of blood taken. He also set up appointment for tomorrow - Tuesday, 11/8/22 @ 10am for X-Ray of bones. Also was sent home with items needed for 24 hr urine collection, which I have done and will return to lab before X-Rays. The bloodwork results started hitting "My Chart" before we left the hospital. Lots of line entries of results. Two other doctors made notes about certain lines. Dr. Saini wants to do bloodwork every 3 months. I expect to hear from Dr. after results come in from Urine and X-Rays. We are headed back home on Thursday 11/10, I have a haircut scheduled in New Braunfels. Rescheduled from 11/2 as I was headed to Houston. Hope all is well with you. Jackie

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@redgiles My apologies for not getting back to you. This post missed my radar. Shame on me! So glad you got the consultation appointment and now that a bit of time has passed, what have you found out? Yep, there are many blood tests run, it seems like each one takes different tubes, doesn't it!?

It can be a pretty nervous time while we wait for complete information, and seeing additional notes on your chart may trigger a reaction of "oh, no! why are they commenting?" I am here for you, and will definitely support you through whatever is said. Bloodwork every three months is fairly normal. While that was the protocol for me before starting chemo, I now do it every month at the cancer center. Plus bloodwork for the kidney stuff.

Please let me know how you are doing!
Ginger

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