Multiple Myeloma – Uncommon Signs and Key Facts

Multiple myeloma is a type of cancer that develops in the plasma cells. Healthy plasma helps the body fight infections by making antibodies, but for those affected with multiple myeloma, this plasma in the bone marrow is crowded out by cancerous cells. These cells produce abnormal proteins that can lead to complications. About 100,000 people in the country seem to be affected by this rare form of blood cancer.
Uncommon signs
The progress of multiple myeloma leads to the development of other conditions like amyloidosis, hypercalcemia, and anemia. This can lead to the following lesser-known multiple myeloma signs:
Amyloidosis: This causes a buildup of proteins in the body that can injure organs and interfere with their functioning. In addition to the common symptoms of myeloma, amyloidosis also includes p urple spots on the skin, s wollen tongue and other issues with swelling, n umbness or tingling sensation in the limbs, p ainful joints, d iarrhea, clay-colored stools, or other digestive problems.
Hypercalcemia: Damage to the bone structure from myeloma can lead to the release of excessive amounts of calcium in the blood, also known as hypercalcemia. This can exhibit signs like n ausea, vomiting, loss of appetite, c onstipation and other digestive issues, t witching of muscles, or restlessness.
Anemia: Overpopulation of cancerous cells in the bone marrow can crowd out other healthy blood stem cells that produce red blood cells, leading to anemia or a low red blood cell count. Symptoms of anemia include e asy bruising or bleeding, c ognitive issues, such as trouble thinking or getting easily confused, and a f eeling one’s limbs are weak or easily fatigued.
Kidney failure: Amyloidosis, hypercalcemia, and excess M-protein and antibodies released by growing plasma tumor cells can damage organs like the kidneys, nerves, heart, muscles, and the digestive tract. Multiple myeloma can lead to kidney failure and damaged peripheral nerves in the limbs. Signs of kidney failure are h igh blood pressure, f luid retention, s welling of the legs, feet, or ankles, h eadaches, i tching, m uscle cramps, and s tiffness of fluid in the joints.
Common signs
Initial signs of multiple myeloma may be mild manifestations or even undetectable. This precursor stage is known as smoldering multiple myeloma (SMM) and needs to be monitored closely. The symptoms worsen with the growth of abnormal cancer cells in the body. These cells crowd out the healthy plasma cells affecting the bone structure and releasing antibodies, M-protein, and other proteins that thicken the blood. While multiple myeloma signs can differ for every person, common symptoms are:
- Pain in the bones of the back or the ribs: Bone damage associated with MM usually occurs around the rib cage, spine, and pelvis. This increases the risk of spinal cord compression, which can lead to pain, numbness, and weakness in the body and needs to be treated immediately.
- Bones that fracture easily
- Fatigue and weakness
- Shortness of breath
- Dizziness
- Frequent infections and fevers
- Frequent need to urinate
- Extreme thirst
- Weakness or numbness in the legs
- Mental fogginess or confusion
- Loss of appetite
- Constipation
Those experiencing one or more multiple myeloma signs must consult a doctor immediately. Trained professionals can help create personalized treatment plans based on the type, stage, and personal health history of each individual.
Risk factors
Factors that can increase a person’s likelihood of developing multiple myeloma are:
Age: The risk of multiple myeloma increases with age, with most diagnoses in the mid-60s age group.
Sex: Men are more likely to develop the disease than women.
Ethnicity: People of African descent are more likely to develop multiple myeloma than others.
Family history: People with an immediate family history of multiple myeloma are at an increased risk of developing the disease.
Personal history: Multiple myeloma often starts as monoclonal gammopathy of undetermined significance (MGUS). People with this condition are at a greater risk of developing the disease.
Complications
Apart from kidney failure and anemia, complications caused by multiple myeloma are:
Frequent infections: The growth of cancerous cells inhibits the body’s ability to fight infections.
Bone problems: Multiple myeloma can affect the bones, leading to bone pain, thinning bones, and broken bones.
Diagnosis
Multiple myeloma is diagnosed after a thorough clinical examination, an inspection of one’s detailed patient history, and various specialized tests. The most commonly used tests are:
Bone marrow aspiration and biopsy: This involves the removal and examination of a small sample of the bone marrow.
Blood Tests: These are meant to detect low levels of red and white blood cells in the body.
Imaging tests: Magnetic resonance imaging (MRI), computed tomography (CT), and positron emission tomography (PET) scans can help detect any characteristic changes in the bones.
Electrophoresis: This test uses electric currents to detect levels of M-protein in the blood or urine.
Treatment
Those with SMM may not require treatment right away. With the progress of the disease, the following standard treatment options may be recommended:
Targeted therapy: Targeted treatments focus on specific weaknesses within cancer cells to block abnormalities and kill these cells.
Immunotherapy: Immunotherapy interferes with the body’s immune system to fight cancer.
Chemotherapy: Chemotherapy uses antidotes to kill fast-growing cancer cells. High doses of chemotherapy are used before a bone marrow transplant.
Bone marrow transplant: For those with advanced multiple myeloma, a bone marrow transplant may be recommended to replace diseased bone marrow with healthy bone marrow.
Radiation therapy: Radiation therapy involves the use of high-powered energy beams such as X-rays and protons to kill cancer cells. It may be used to shrink myeloma cells in a specific area.
Further, certain prescription treatment options can regulate the immune system to control inflammation in the body. In addition to traditional therapies, research is being conducted to come up with several new treatment options. One should consult a doctor to learn about access to these clinical trials.