Multiple Myeloma an incurable disease, but I have spent the last 25 years in remission using a blend of conventional oncology and evidence-based nutrition, supplementation, and lifestyle therapies from peer-reviewed studies that your oncologist probably hasn't told you about.
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Staging multiple myeloma is both central to determining the newly diagnosed patient’s prognosis yet can be complicated and downright confusing. Myeloma specialists themselves don’t even agree on how to properly stage the newly diagnosed patient.
While there are certainly standard staging systems, each system weighs different diagnostic factors differently. The two recognized staging systems for myeloma are:
Depending on the system and depending on the oncologist, the weight and application of specific diagnostic criteria can vary.
The two things that everyone agrees on are:
While staging your myeloma is central to understanding your prognosis, always remember that there is a great deal of variability in the newly diagnosed myeloma patient’s overall survival.
After all, my oncologist told me that I was end-stage… in September of 1997.
If you find five-year survival rates to be confusing, just remember that the life expectancy for newly diagnosed myeloma patients range from one or two years to 10-15 years and everything in-between.
And most importantly, none of the conventional statistics take into account evidence-based, non-conventional therapies such as nutrition, supplementation and lifestyle therapies.
While both staging systems differ in the weighting of diagnostic criteria, the factors both systems agree on are what I believe newly diagnosed multiple myeloma patients must focus on.
And those agreed upon criteria are:
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I am a long-term multiple myeloma survivor and cancer coach. I research and write about all things multiple myeloma. PeopleBeatingCancer is dedicated to providing the experience and research needed to manage your multiple myeloma.
Now that I have explained the general state of staging your myeloma, let me explain what I believe is that information that is most important to you.
In general the Durie-Salmon Staging System focuses on what, if any, damage your MM is doing to you. The International Staging System focuses on any potential risks that your myeloma may present in the future.
While SBP, MGUS and SMM are stages, they are stages of pre-myeloma, not full myeloma. Pre-myeloma stages are considered to be blood disorders not cancer. A diagnosis of pre-myeloma tells you that your risk of a multiple myeloma diagnosis is increased compared to average people.
According to research, less than 5% of newly diagnosed myeloma patients (about 1600 patients annually) are identified at this early stage. According to both systems, the early patient shows few if any problems with his/her blood, bones, organs and has no genetic abnormalities.
Because the early stage patient has few if any health problems and comparatively few monoclonal proteins in their blood, few if any symptoms- listed to the right- will be problematic.
The stage 1 patient may have general back or hip soreness but rarely a bone fracture. While the stage 1 patient may experience nerve tingling or skin problems, these typical symptoms probably don’t rise to the level of real seriousness.
Myeloma is most treatable at this stage. In my experience, the stage 1 patient can undergo less chemotherapy than the standard-of-care and still have an excellent chance of a deep response.
According to research more than 95% of newly diagnosed patients are stage 2/3. While your blood cancer is not yet advanced, it is beginning to cause health challenges to you. Both the Durie-Salmon and ISS systems spend time talking about early stage and advanced stages (I and III) but comparatively little time explaining what stage 2 is.
Unlike other cancers, myeloma has three stages not four. Stage 3 myeloma is the most advanced stage there is.
In my experience, the single most important accomplishment conventional oncology has made to the world of multiple myeloma is the fact that almost all (90 plus percent) of newly diagnosed patients respond to induction therapy. This response to the standard-of-care chemo combination insures that the vast majority of stage 3 myeloma patients can stabilize their advanced blood cancer. .
Patients and their oncologists sometimes talk about restaging their myeloma after induction or an autologous stem cell transplant. While the same diagnostic tests are used when restaging the patient, the goal is to determine how the patient responded to therapy. Did the patient reach complete remission, partial remission, etc.
When a newly diagnosed myeloma patient is 75 years of age or older, he/she falls into the elderly category. According to research, more than 30% of all newly diagnosed patients are 75 or older. While the health of each elderly myeloma patient varies of course, it is important to understand what challenges elderly myeloma patients face:
The reason why most people reach end-stage or become terminal is because of multi-drug resistance or MDR. The fact of the matter is that myeloma is incurable because each myeloma survivors myeloma becomes resistant to each and every therapy.