[NP-Clinical] Re: Need help

[Jan Lewis]

The prevalence of MGUS in people over 70 yrs is 5.3% - so not really too
uncommon.

Progression to MM or a related malignancy is one percent per year - so
when he's 90 his risk of progression will make it to 20%.

Jan Lewis - Heme NP

>>> <rkrone at mchsi.com> 5/10/2007 6:12 PM >>>
Hi,

20% progress to myeloma. Depends on the definition of "modest". But 80%
don't 
progress, so odds are in his favor.

My husband has had myeloma for eight years. If interested:

www.purpleride.blogspot.com 

--
Teresa Krone, ARNP
rkrone at mchsi.com 


> Yep ... you are correct ... may well be MGUS which can be totally
benign. He 
> does need to see a hematologist to evaluate for MM, amyloid etc and
to watch him 
> over the years as there is a modestly increased chance of him
developing MM if 
> he just has MGUS - accent on MODESTLY increased chance. They will do
a 
> metastatic skeletal survey as part of the work up and lood for lytic
lesions 
> which are most likely not there.
> He is likley going to be just fine!
> Jan
> Heme NP - Kansas City
> 
> >>> Julie Orfirer <jeorf at yahoo.com> 5/10/2007 9:59 AM >>>
> Well, of course I wouldn't say anything to my husband....
>    
>   I also want to say that I think I over-reacted a bit with more
study.  It 
> looks like it's probably MGUS and something they'll just be watching.
 I think I 
> was responding to what I learned yesterday about my other patient. 
Anyway, 
> we'll get him to the right people and go from there.
>    
>   Thanks,
>    
>   Julie
> 
> 
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> David Thoreau
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