Myeloma Terminology

42 terms

Comprehensive glossary of terms, treatments, and medications related to multiple myeloma

42 terms found
Multiple Myeloma
Medical

A type of blood cancer that affects plasma cells in the bone marrow. These abnormal plasma cells multiply uncontrollably and can crowd out healthy blood cells.

Plasma Cells
Medical

White blood cells that produce antibodies to help fight infections. In multiple myeloma, these cells become cancerous.

Bone Marrow
Medical

The soft tissue inside bones where blood cells are made. This is where myeloma cells grow and multiply.

M Protein (Monoclonal Protein)
Medical

An abnormal protein produced by myeloma cells. It can be detected in blood or urine tests and is used to monitor the disease.

Light Chains
Medical

Parts of antibodies that can be produced in excess by myeloma cells. Free light chains in blood or urine can indicate disease activity.

Hypercalcemia
Medical

High levels of calcium in the blood, often caused by bone destruction from myeloma. Can cause fatigue, confusion, and kidney problems.

Anemia
Medical

Low red blood cell count, common in myeloma patients. Causes fatigue, weakness, and shortness of breath.

Renal Impairment
Medical

Kidney problems that can occur in myeloma patients due to high protein levels, calcium, or other factors.

Osteolytic Lesions
Medical

Areas of bone damage or 'holes' caused by myeloma cells destroying bone tissue. Can cause pain and fractures.

CRAB Symptoms
Medical

The main complications of myeloma: Calcium elevation, Renal impairment, Anemia, and Bone lesions.

Bone Marrow Biopsy
Diagnostic

A procedure to remove a small sample of bone marrow tissue to examine for myeloma cells and determine the percentage present.

SPEP (Serum Protein Electrophoresis)
Diagnostic

A blood test that separates proteins to detect abnormal proteins produced by myeloma cells.

UPEP (Urine Protein Electrophoresis)
Diagnostic

A urine test to detect abnormal proteins, particularly light chains, that may indicate myeloma.

Immunofixation
Diagnostic

A more sensitive test than protein electrophoresis to identify and characterize abnormal proteins.

Free Light Chain Assay
Diagnostic

A blood test that measures the levels of free kappa and lambda light chains to monitor disease activity.

Beta-2 Microglobulin
Diagnostic

A protein found on cell surfaces. High levels in blood can indicate more advanced myeloma and help with staging.

LDH (Lactate Dehydrogenase)
Diagnostic

An enzyme that can be elevated when cells are damaged or destroyed, often raised in active myeloma.

Cytogenetics
Diagnostic

Testing to examine chromosomes in myeloma cells to identify genetic abnormalities that affect prognosis and treatment.

FISH (Fluorescence In Situ Hybridization)
Diagnostic

A genetic test that looks for specific chromosome changes in myeloma cells to help guide treatment decisions.

Induction Therapy
Treatment

The first treatment given to reduce the number of myeloma cells and achieve remission.

Consolidation Therapy
Treatment

Treatment given after induction to further reduce myeloma cells, often includes stem cell transplant.

Maintenance Therapy
Treatment

Long-term treatment given after initial therapy to keep myeloma in remission for as long as possible.

Autologous Stem Cell Transplant
Treatment

A procedure using the patient's own stem cells to restore bone marrow after high-dose chemotherapy.

Allogeneic Stem Cell Transplant
Treatment

A procedure using stem cells from a donor to replace the patient's bone marrow. Rarely used for myeloma.

Mobilization
Treatment

The process of moving stem cells from bone marrow into the bloodstream for collection before transplant.

Conditioning Regimen
Treatment

High-dose chemotherapy given before stem cell transplant to destroy myeloma cells and make room for new stem cells.

Engraftment
Treatment

When transplanted stem cells begin to grow and produce new blood cells in the bone marrow.

Lenalidomide (Revlimid)
Medication

An immunomodulatory drug that enhances the immune system's ability to fight myeloma cells and has anti-angiogenic properties.

Bortezomib (Velcade)
Medication

A proteasome inhibitor that blocks proteins needed for myeloma cell survival, causing cell death.

Carfilzomib (Kyprolis)
Medication

A newer proteasome inhibitor, often used when bortezomib is no longer effective.

Dexamethasone
Medication

A corticosteroid that has anti-myeloma effects and is often combined with other treatments.

Daratumumab (Darzalex)
Medication

A monoclonal antibody that targets CD38 protein on myeloma cells, helping the immune system attack them.

Elotuzumab (Empliciti)
Medication

A monoclonal antibody that targets SLAMF7 protein to enhance immune system recognition of myeloma cells.

Pomalidomide (Pomalyst)
Medication

An immunomodulatory drug similar to lenalidomide, often used in relapsed/refractory myeloma.

Ixazomib (Ninlaro)
Medication

An oral proteasome inhibitor that can be taken at home, unlike IV proteasome inhibitors.

Panobinostat (Farydak)
Medication

A histone deacetylase inhibitor used in combination with other drugs for relapsed myeloma.

Melphalan
Medication

A chemotherapy drug often used in high doses before stem cell transplant.

Cyclophosphamide
Medication

A chemotherapy drug often used in combination regimens for myeloma treatment.

Selinexor (Xpovio)
Medication

A selective inhibitor of nuclear export that forces myeloma cells to keep tumor suppressor proteins in the nucleus.

Belantamab Mafodotin (Blenrep)
Medication

An antibody-drug conjugate that delivers chemotherapy directly to myeloma cells through the BCMA target.

CAR-T Cell Therapy
Medication

A treatment that modifies the patient's T-cells to better recognize and attack myeloma cells.

Bisphosphonates
Medication

Drugs like zoledronic acid or pamidronate used to strengthen bones and reduce bone complications.

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