How I Treat Myeloma In Elderly?

How I Treat Myeloma In Elderly?

New effective treatments including thalidomide, bortezomib, and lenalidomide have replaced the former standard melphalan-prednisone (MP). MPT and melphalan-prednisone-bortezomib are the reference treatments for elderly patients ineligible for high-dose therapy.

Is myeloma common in elderly?

Multiple myeloma (MM) is a common disease among the elderly with a median age of 70 years at diagnosis and many patients diagnosed at ≥75 (~30%) and ≥85 years (~10%) [1, 2].

How do you deal with multiple myeloma?

Treatments for myeloma

  1. Targeted therapy. Targeted drug treatments focus on specific weaknesses present within cancer cells.
  2. Immunotherapy. Immunotherapy uses your immune system to fight cancer.
  3. Chemotherapy. Chemotherapy uses drugs to kill cancer cells.
  4. Corticosteroids.
  5. Bone marrow transplant.
  6. Radiation therapy.

What are the symptoms of dying from myeloma?

But when you have late-stage multiple myeloma, your symptoms may show up as:

  • Being sick to your stomach.
  • Bone pain in your back or ribs.
  • Bruising or bleeding easily.
  • Feeling very tired.
  • Fevers.
  • Frequent infections that are hard to treat.
  • Losing a lot of weight.
  • Not feeling like eating.

What is the initial treatment for myeloma?

Myeloma can be treated with combinations of different chemotherapy medicines. Chemotherapy treatment will take place over several months.

How Long Can multiple myeloma patients live without treatment?

“I have seen patients live from several weeks to more than 20 years after being diagnosed,” Dr. Hillengass says. Multiple myeloma is a cancer of cells of the immune system which can cause symptoms like holes in the bones (osteolytic lesions), kidney failure, low blood counts and high calcium in the blood.

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What is the lifespan of someone with multiple myeloma?

The SEER(Surveillance, Epidemiology, and End Results) data for multiple myeloma has been published in 2013 by the National Cancer Institute, and the average life expectancy remains at 4 years for the third year in a row. However, some people beat the odds and live 10 to 20 years or more.

What foods should I avoid with multiple myeloma?

Since multiple myeloma makes your immune system weaker, you’ll need to steer clear of any foods that could make you sick, including:

  • Raw meat or fish.
  • Runny eggs.
  • Unpasteurized drinks.
  • Sushi.
  • Unwashed fruits and vegetables.

What is the best hospital to treat multiple myeloma?

Mayo Clinic is recognized as a multiple myeloma Specialized Program of Research Excellence (SPORE), funded by the National Cancer Institute.

When should you start treatment for multiple myeloma?

Most people with smoldering multiple myeloma start treatment only when their condition becomes active. You and your doctor will know you’ve reached that point when test results show at least one other symptom, such as: Your bone marrow is 60% or more cancer cells.

Is myeloma curable?

Treatment for multiple myeloma can often help to control symptoms and improve quality of life. However, myeloma usually can’t be cured. This means additional treatment is needed when the cancer comes back (a relapse).

How do you know when multiple myeloma is getting worse?

As active multiple myeloma gets worse, you’ll likely feel sicker, with fatigue or bone pain. You may have anemia, bleeding problems, or a lot of infections. Other symptoms of advanced multiple myeloma include unusual fractures, shortness of breath, weakness, feeling very thirsty, and belly pain.

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Is myeloma a painful death?

Experiencing a Peaceful Passing Accounts of those who have accompanied a loved one as they died from complications of multiple myeloma generally report a relatively calm death in which pain has been effectively managed.

How successful is treatment for myeloma?

Treatments for myeloma can be very effective at controlling the disease, reducing symptoms and improving quality of life. Unfortunately, however, myeloma is currently an incurable (terminal) cancer. In general, treatment is given to: Reduce the levels of myeloma as far as possible.

How many chemo treatments are needed for myeloma?

You may need 4 to 6 cycles. The complete course of treatment usually takes a few months to finish. It depends on which treatments you are having and how well the myeloma responds to the drugs. Your doctor or nurse will explain more about this.

How do you feel when you have multiple myeloma?

Sometimes, multiple myeloma can damage nerves, causing a condition called peripheral neuropathy. Sometimes, the abnormal proteins produced by myeloma cells can damage nerves. This damage can lead to weakness and numbness and sometimes a “pins and needles” sensation.

Alice Sparrow

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