Myeloma• As they age, people oftencomplain of increasingaches and pains• But ….• Chronic back pain, notresponding• Anemia• Renal failureEspecially in older persons
Laboratory Work-up• CBC• Uric Acid level• Routine biochemical tests• Clotting studies (PT, PTT, D-dimer, fibrinogen)• Biopsy of any swelling• X rays / CT Scan / MRI
Bone Marrow Aspirate and BiopsySpecialtests doneon thesample
• ALMOST ALL !!• Some blood cancers one needs to wait andwatch; they do not require immediate treatment• They are slow, chronic cancers• Treatment is instituted only when symptomsdevelop• Regular check up is a must !!!All cancers must be treatedIMMEDIATELY !!!
Treatment – Blood Cancers...• Supportive care• Chemotherapy– No of cycles– Phases of chemotherapy• Bone marrow transplantation
What about the Side Effects ?• Yes, there are side effects– Nausea– Vomiting– Infection– Bleeding• There are better medicines now to control theadverse effects of chemotherapy
Oh, but I will go bald !!!• Yes, you may, depending onthe treatment• But the hair ALWAYSCOMES BACK !!!• AND BETTER, CURLIERTHAN BEFORE !!!
The Future• Clinical trials• New drug treatments• Vaccines• Immunotherapy• Leukemia type-specific therapy• Gene therapy– Block encoding instructions of an oncogene– Target the oncoprotein• Blood and marrow stem cell transplantation– Bone marrow transplantation provides long-term, disease-free survival among patients in remission
• First aim of any cancertreatment is to achieve cure• Second aim is to make patientlead a normal, sociallyacceptable and productive life• Any treatment plan deviatingfrom these goals is not state ofthe art treatmentUndergoing cancer treatment means onecannot lead a normal life or work ??
Dr. Farah JijinaConsultant Hematologist & Hemato-oncologistAppointment Helpline: 022-39818181/67668181/24451515VOPS Schedule: Every Thursday, 11:30 am to 12:00 pmOnline Appointment: http://www.hindujahospital.com/vops/For any Queries, please write us on: email@example.comThank You