Multiple Myeloma:
The Diagnosis and Treatment of a Harmful Disease
Sarah Erickson
Anatomy & Physiology 4th period
Dr. Minter
March 1, 2016
Abstract
Multiple myeloma is a cancer of the plasma cells in the bone marrow. These cells typically contribute in the immune system, but in this cancer, they can accumulate and block healthy plasma cells. The cancer cells begin to divide until they spread into the bone marrow and eventually weaken the hard cortex of the bone outside of the marrow. The erosion of the bone marrow causes pain or even breaks and fractures of the bones damaged by the cancer. Multiple Myeloma is an individual type of cancer centered around the cancerous, plasma cells, and is categorized by its symptoms, development, and treatment.
Risk Factors
The exact the cause of multiple myeloma is unknown, but studies have been conducted to suggest risk factors that aid in its development. Research shows certain risk factors such as exposure to herbicides, insecticides, benzene, hair dyes, and radiation, but there is no exact evidence. Other research has suggested that certain occupations can prompt multiple myeloma. Occupations that have exposure to specific chemicals or radiation such as agricultural occupations , petroleum workers, workers in leather
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Symptoms of multiple myeloma can be difficult to detect in patients with beginning stages of this disease, but certain tests are used to diagnose patient. The exact cause of multiple myeloma is unknown. However, risk factors such as age and occupation can lead to determining a diagnosis. Treatment of multiple myeloma is inconclusive, but is used to prolong life or relieve pain of patients suffering from their condition. Perhaps as new information is discovered and science progresses, the cure for this degenerative disease can finally be
Leukemia is a type of cancer that sadly causes around 25,000 deaths in the U.S. each year. The area that it affects is the blood and the bone marrow and like most or all of the types of cancer in the world if not taken control of early it will most likely kill you.
‘Boxes’ is a short story that focuses on the limits that people are confined to either by their own doing or by society; it is a story about physical and psychological boxes that they put their emotions and true feeling into. The story focuses on the mother who, plagued by depression, contains her emotions and relies on lies and manipulation to achieve her goals; her son, the narrator, who cannot bring himself to ‘unbox’ his true feelings about his mother; and Jill, whom serves as a foil to both characters by having no walls or barriers.
English, trade, and the United States of America, all great things that came out of British imperialism. Although its reach left some wounds that are not completely healed, it also sparked the creation of key parts of the world we live in today. Overpopulation and economic struggles in Britain allowed people to start anew and birth things like democracy in lands far from home. English was established as the common language, which broke communication barriers and opened the door for trade and commerce. Railroads and new technologies were established in Africa, who was stuck in the stone ages. Our world evolved through the struggles of imperialism, and these changes kick started many new ideas and ventures that have made the world what it is
There are several ways to treat Myelodysplastic Syndromes. The plan of action of one’s treatment depends on the severity of the syndrome and age. Types of standard treatment are supportive care, drug therapy, and chemotherapy with stem cell transplant. Supportive care is used to reduce problems or side effects associated with the syndrome or its treatment. One supportive care option is blood transfusion. Transfusions can be specific to the type of cytopenias. For example, if a patient is experiencing anemia, a red blood cell transfusion is given. Platelet transfusions are given when a patient is bleeding easily, platelet count is low, or when the patient is having a procedure that may cause bleeding. Patients can also receive transfusions to
“These tumors can cause pain, limit joint movement, and exert pressure on nerves, blood vessels, and surround tissues” (2). Multiple tumors can also “disrupt bone growth and can cause disturbances of the arms, hands, and legs, leading to
On histopathology, desmoplastic Ameloblastoma reveals small areas and thin cords of odontogenic epithelium distributed between dense, fibrous connective tissue.[7] Regions of mature lamellar bone may be seen and invasion may be also be seen.[7 This histological finding indicates the potential for local invasion and also is the reason for the diffuse appearance on radiographs. Desmoplastic Ameloblastoma is so considered more aggressive than other common variants of Ameloblastoma.[7]
Choice “A” is the best answer. All of the choices are complications of parathyroid surgery. The development of an expanding hematoma in the pretracheal space has the highest mortality in postoperative patients if left untreated as it compresses the airway. This complication must be recognized and treated immediately by opening the wound and evacuating the hematoma. If untreated, the hematoma may progress rapidly, causing airway obstruction. In contrast, most small hematomas do not require treatment[1].
Multiple Myeloma is a form of cancer which affects the plasma cells of the body, which are white blood cells. Multiple Myeloma, first described in 1848, is a disease “characterized by a proliferation of malignant plasma cells and a subsequent overabundance of monoclonal paraprotein.” To understand how Multiple Myeloma affects an infected person’s plasma cells, it helps to have a general understanding of how normal blood cells are formed and how they act. Most blood cells develop from stem cells, which can be found in bone marrow (soft material inside our bones – the “filling”). Stem cells mature into white blood cells, red blood cells, or platelets.2 The purpose of white blood cells is to fight off infection, while
Hospitalized at the Mayo Clinic in Phoenix, Arizona, 19-year-old Dillon Garrett was given the choice to either do four rounds of chemo and have a 40 percent chance that the cancer wouldn’t come back or he could have a transplant and have an 80 percent possibility.
UA was first described as distinct variant of ameloblastoma by Robinson and Martinez[1,2,3]in1977, which refer to those cystic lesions that show clinical and radiographic features of odontogenic cysts, but in microscopic examination, show typical ameloblastomatous epithelium lining part of the cyst cavity, with or without a luminal or mural tumour proliferation[4].
This project management plan is to conduct the clinical study to determine dose and regimen of Durvalumab as monotherapy or in combination with Pomalidomide with or without Dexamethasone in subjects with relapsed and refractory multiple myeloma.
According to the MD Anderson Cancer Center (2009), Myelodysplastic Syndrome (MDS) is the name for a group of various disorders that affect the bone marrow. Bone marrow is where red blood cells, white blood cells and platelets are produced (MFMER, 2011). MDS primarily occurs in the elderly population in ages 65 and older, but MDS can affect younger patients as well. Bone marrow produces immature blood cells often referred to as stem cells, progenitor cells, or blasts (Aggarwal, S., Van de Loosdrecht, A., Alhan, C., Ossenkoppele, G. J.,
At all stages of MM, from diagnosis, remission, relapse to refractory, patients will face a high burden of biopsychosocial impacts. MM is characterised by the formation of tumours as a result of the overproduction and accumulation of malignant plasma cells in the bone marrow and on surfaces of various bones the body (Barber & Mullen, 2017; Dowling, Kelly, & Meenaghan, 2016). Consequently, these tumours causes the inhibition of osteoblasts and elevation of osteoclasts (Silbermann & Roodman, 2013). Thence, it is evident that up to 90% of individuals with MM suffer from hypercalcaemia and increased bone resorption (Silbermann & Roodman).
A 67-year-old male presents to the emergency department with a 2-day history of fever and productive cough. He feels very unwell. The patient is known to have multiple myeloma, a diagnosis established 1 year ago. He was induced with high-dose chemotherapy and maintained on bortezomib. Vital signs: Temperature 38.8ºC (101.8°F), blood pressure 125/88 mmHg, heart rate 98 beats/min, respiratory rate 20 breaths/min. Crepitations are heard in the right middle chest. Chest x-ray shows areas of consolidation in the right middle and lower lobes. They most recent serum protein electrophoresis is seen in the image. The M-spike has increased from 4.5 to 6.3 gm/dL over the past 4 months. The most likely predisposing cause of the patent’s findings is:
Multiple myeloma is a haematological malignancy characterized by clonal proliferation of malignant plasma cell in the bone marrow with diffuse bony involvement. The spine is the most common skeletal site being involved. This case report describes a multiple myeloma patient presented with spinal cord compression and illustrates the aspects of differential diagnosis, the use of laboratory and imaging for diagnosis.