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Myeloma

Myeloma consultation for diagnosis review, bone marrow evaluation, targeted treatment, chemotherapy, and supportive care planning.

13+ Years Experience
ECMO Certified Oncologist
Yashoda Hospitals
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Overview

Understanding Myeloma

Myeloma is a blood cancer affecting plasma cells in the bone marrow. It can affect bones, kidneys, blood counts, and immunity.

Treatment depends on symptoms, kidney function, bone involvement, blood counts, and overall fitness.

Bone pain, anemia, kidney problems, or abnormal protein reports need proper evaluation.


Types

Types of Myeloma

Invasive Ductal Carcinoma (IDC)

The most common type — starts in the milk ducts and invades surrounding tissue. Accounts for about 80% of all breast cancer cases.

Invasive Lobular Carcinoma (ILC)

Begins in the lobules (milk-producing glands). Often harder to detect on imaging; requires careful clinical evaluation.

HER2-Positive Breast Cancer

Overexpresses the HER2 protein, making it more aggressive — but highly responsive to targeted therapies like trastuzumab (Herceptin).

Triple-Negative Breast Cancer

Lacks ER, PR, and HER2 receptors. More aggressive and treated primarily with chemotherapy and newer immunotherapy agents.

Hormone Receptor-Positive (HR+)

Fuelled by estrogen or progesterone. Responds well to hormone-blocking therapies such as tamoxifen or aromatase inhibitors.

Inflammatory Breast Cancer

A rare, rapidly progressing form that causes redness and swelling. Requires immediate, aggressive multimodal treatment.


Warning Signs

Symptoms to watch for

Recognising early symptoms leads to earlier diagnosis and better outcomes.

Bone pain
Back pain
Fatigue due to anemia
Repeated infections
Kidney function changes
High calcium symptoms
Fractures or weakness

Diagnosis

How Myeloma is diagnosed

01

CBC and Kidney Function Tests

Check anemia and kidney status.

02

Serum Protein Electrophoresis

Detects abnormal protein.

03

Free Light Chain Assay

Helps diagnose and monitor disease.

04

Bone Marrow Test

Confirms plasma cell involvement.

05

PET CT / Skeletal Imaging

Assesses bone disease.


Treatment

Treatment options available

Treatment depends on type, stage, and patient health. Dr. Kumar designs individualised plans:

Targeted Therapy

Often used in modern myeloma regimens.

Chemotherapy-based Treatment

May be used depending on condition.

Steroid-based Therapy

Common part of myeloma care.

Bone Strengthening Support

Helps reduce skeletal complications.

Transplant Referral

May be considered in suitable patients.

Prognosis

Outlook & prognosis

Outcomes depend on stage, subtype, and treatment response. Modern treatments have significantly improved survival:

Controlled Disease

Modern therapy helps control symptoms and disease.

Response Based Care

Treatment is adjusted by response.

Monitoring

Long-term follow-up is required.


FAQs

Frequently asked questions

You should consult when symptoms continue, reports are abnormal, diagnosis is confirmed, or you need treatment planning or a second opinion.
Please bring biopsy reports, blood tests, scan reports, previous prescriptions, discharge summaries, and current medication details.
No. Treatment depends on diagnosis, stage, reports, patient fitness, previous treatment, and overall health condition.
Yes. Patients can consult for report review, diagnosis review, second opinion, and treatment planning.
You can consult Dr. Shikhar Kumar at Yashoda Hospitals, Hitec City, Hyderabad. OPD timing is Monday to Saturday, 9:00 AM to 4:00 PM.

Need expert treatment guidance?

Consult Dr. Shikhar Kumar for myeloma evaluation, treatment planning, and blood cancer care guidance.