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April 14
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A MyMyelomaTeam Member

Paula is correct. Confer with your main oncologist and see what they have to say concerning the results of the biopsy, but definitely take the results to another highly reviewed oncologist and see what their opinion is.

April 14
A MyMyelomaTeam Member

Steven,
The Multiple Myeloma Research Foundation recommends getting a second opinion every time your treatment or numbers change. Always with a MM Specialist.
Paula🌹

April 14
MyMyelomaTeam

Are you experiencing a relapse with an MRD result of +141 per million and rising kappa levels?

Your MRD result of +141 per million means that 141 myeloma cells were detected per 1 million bone marrow cells tested. This indicates you are MRD-positive, meaning there are still detectable myeloma cells in your body after Show Full Answer

Are you experiencing a relapse with an MRD result of +141 per million and rising kappa levels?

Your MRD result of +141 per million means that 141 myeloma cells were detected per 1 million bone marrow cells tested. This indicates you are MRD-positive, meaning there are still detectable myeloma cells in your body after treatment.

Combined with your gradually rising kappa numbers (now at 2.5), these results suggest your myeloma may be becoming more active. Rising monoclonal antibody levels like kappa are one of the criteria doctors use to diagnose a relapse. However, a formal relapse diagnosis typically requires meeting specific criteria beyond just these numbers. Doctors look for:

- Increased plasma cells in bone marrow
- Higher levels of abnormal proteins (like your kappa)
- New or growing tumors or bone lesions
- Signs of CRAB criteria (high Calcium, Renal problems, Anemia, Bone disease)

MRD testing can indicate when a relapse may occur sooner rather than later. If MRD is detectable after treatment, it often means the disease could return more quickly.

It's crucial to discuss these results with your oncologist right away. They'll evaluate all your test results together and determine whether you're experiencing a relapse or if your disease is progressing toward one. They can then adjust your treatment plan accordingly.

April 14

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