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Multiple Myeloma – Treatment in India.

Multiple Myeloma Treatment In India

Multiple Myeloma is a diseased medical condition involving plasma cells. Normal plasma cells are found in the bone marrow and form an integral God gifted immune system for a healthy Individual. At CMCS Health we are associated with Best Hematologist and BMT specialist from India for cost effective treatment of hematological malignancies in India. We Offer cost effective Multiple Myeloma -  Treatment in India for our Global guests seeking specialized medical treatment in India.

What is Multiple Myeloma:

Multiple Myeloma is a diseased medical condition involving plasma cells. Normal plasma cells are found in the bone marrow and form an integral God gifted immune system for a healthy Individual. In Multiple Myeloma patients the normal plasma cells are converted into Malignant plasma cells. These Myeloma plasma cells produce large quantities of abnormal immunoglobulins called M Protien. The large quantities of this abnormal immunoglobulin hampers the production of normal blood cells in Multiple myeloma patients.

Symptoms of Multiple Myeloma:

Although many of the patients suffering from multiple myeloma may not exhibit or feel any symptoms and it is diagnosed because of some lab. tests recommended by a clinician for other health complaints of the patients. The common symptoms of Multiple myeloma experienced by patients are:
  • Pain in bones ,which could be in all skeleton system but more prominent in skull,back or hips. Patients of multiple myeloma can easily fracture their bones even with a slight stress or injury because of weakening of bone (osteoporosis ) either in the entire skeletal system or at a place of plasmacytoma.
  • A routine CBC recommended by a physician to rule out a health complaint reveals low RBC , WBC and platelets.Low RBCs cause fatigue , a general feeling of malice and not being well, difficulty in breathing and dizziness. Low WBCs will make patient prone to frequent infections and some patient may have pneumonia. Low blood platelet count may culminate  in delayed blood clotting time and excessive bleeding even with a minor cut or bruise .
  • Hypercalcemia or excess calcium in blood may cause extreme thirst and drinking of plenty of fluids and frequent urinating, dehydration,kidney problems,severe constipation, loss of appetite ,a feeling of drowsiness and confusion.
  • Spinal cord compression in multiple myeloma patient because of weakening of bones and collapsing of spinal vertebrae may cause muscle weakness and numbness in legs or sudden severe back pain.
  • Other more severe symptoms may include congestive heart failure, enlarged liver and spleen ,enlarged tongue ,skin changes, persistent diarrhoea and numbness and weakness in hands called carpal tunnel syndrome.

Diagnosis Of Multiple Myeloma:

Once a clinician suspects that a patient is having multiple myeloma ,he recommends certain blood ,urine , a bone marrow biopsy , Xrays ,CT scans and MRIs to confirm the diagnosis.

 Multiple Myeloma - Treatment in India:

The treatment of multiple myeloma depends on staging done by a hematologist. Usually treatment of multiple myeloma consists of chemotherapy and supportive care , radiation therapy ,surgery in certain cases and Bone Marrow or Stem cell Transplant.

BMT or Stem Cell Transplant for Multiple Myeloma:

 

Follow up Post Multiple Myeloma Treatment:

   
Dr. Pawan Kumar Singh - Blood Cancer | BMT specialists is well qualified and well trained in field of Hemato Oncology and Bone Marrow Transplant among Indian clinical hematologists.

Dr Pawan Kumar Singh currently heads the Hematology and Bone Marrow Transplantation department at Artemis Hospital in Gurgaon, India

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Bone Marrow Transplant for AML in India

Bone Marrow Transplant for AML in India

Bone Marrow Transplant for AML in India

Bone Marrow Transplant for AML in India-BMT (Bone Marrow Transplant) or Hematopoietic stem cell  transplant is newer medical Intervention for treating hematological malignancies (Blood Cancers) and non malignant medical conditions in children.In this blog,we are discussing the the disease AML,how AML is diagnosed,what are the classific ation method for AML, treatment choices for AML and Bone Marrow Transplant for AML in India.

What are Indications for BMT in Children?

Bone Marrow or Hematopoietic Stem cell transplant is indicated in certain hematological malignancies as well as non malignant medical conditions in Children. The major indications for BMT in children because of blood cancers are: Acute Myeloid Leukemia (AML) Acute Lymphoblastic Leukemia (ALL) The non malignant medical conditions requiring BMT are: Sickle cell disease and Thalassemia. Aplastic Anemia or other Bone marrow Failure Syndrome. Immune deficiency diseases,inherited metabolic disorder and others.

Bone Marrow Transplant for AML in India

  In this Blog we will highlight the need of Bone Marrow Transplant for AML ( Acute Myeloid Leukemias) Acute Myeloid Leukemia (AML) is a kind of blood cancer.It may consists of multiple disorders involving replacement of healthy bone marrow with abnormal primitive hematopoietic cells. It may affect both adults and children.AML can affect children of any age and sex. A subdivision of AML helps the treating doctor chose the best treatment option and ensure better treatment outcome. AML can be subdivided in a cluster of diseased medical conditions.The most common and widely used classification for sub division of AML is French-American-British system also known as FAB. Another newer subdivision recommended by World Health Organization known as WHO system is also prevalent.

As per FAB ,AML subdivision is as follows:

M0 - AML with minimal evidence of myeloid differentiation. M1 - AML without maturation. M2 - AML with maturation. M3 - Acute promyelocytic leukaemia (APL) M4 - Acute myelomonocytic leukaemia M5 - Acute monocytic/monoblastic leukaemia M6 - Acute erythroleukemia M7 - Acute megakaryoblastic leukaemia

Subdivisions of AML as per WHO System:

(Rarely used in pediatrics patients) AML with characteristic cytogenetic translocations. AML with multilineage dysplasia. AML and myelodysplasia syndromes secondary to therapy. AML not otherwise categorized.

Signs and Symptoms of AML in children: Bone Marrow Transplant for AML in India

As we have discussed in earlier slides that AML is not one disease but a cluster of associated medical conditions. The signs and symptoms can also be classified according to diseased medical condition. Symptoms due to deficiency of normal functioning cells: Cytopenia,Anemia.Hemorrhage and fever. Symptoms due to infiltration of abnormal leukemic cell: Extramedullary infiltration,Mediastinal mass which may cause superior Vena Cava Syndrome or respiratory insufficiency. Abdominal masses causing pain or obstruction in GI or urogenital tracts. Gingival hyperplasia. CNS infiltration.

Causes and factors responsible for pediatric AML:

Causes and factors for AML in children are still being studied.Nothing concrete can be said but the things which may be linked to AML in children are: Children with genetic disorders such as downs syndrome or Li Fraumeni Syndrome are considered to be at a higher risk of developing Pediatric Leukemia. Although very small,but children with siblings having AML stand a risk of having AML. Children suffering from Non malignant medical conditions like Aplastic anemia and MDS (myelodysplastic syndrome) also stand the danger of getting AML. Link between exposure to radiation,living nearby high voltage power lines and certain chemicals and pesticides are being studied.

Treatments for AML| Bone Marrow Transplant for AML in India

The treatment for AML is guided with intention of destructio  of the leukemic cells and enabling the bone marrow to produce normal cells and function in a normal way. Chemotherapy is the back bone of AML treatment. A combination of chemotherapeutic or Anti cancer medicines are used for the optimum results and lower side effects.

The treatment of AML is multiphasic.

The first phase is usually called as induction phase. The aim of induction phase is to destroy abnormal leukemic cells. Induction phase involves chemotherapy with combination chemotherapeutic agents for at least for two chemotherapy cycles. A bone marrow test is conducted at the end of this phase to ensure that the child is free of leukemia.If there is no evidence of leukemia ,the child's condition is referred as being in remission. Two more cycles of chemotherapy are given to child post the induction phase,to ensure destruction of any left over leukemic cell in blood or bone marrow and prevent any relapse.

Bone Marrow Transplant For AML in India:

Bone Marrow Transplant or BMT is recommended for treatment of AML when the disease has relapsed or the treating doctor feels that the child is at a higher risk for relapse. Sometimes AML may develop in CNS ,that is spinal chord and brain and in such cases intrathecal chemotherapy is administered to child directly in spinal fluid.Sometimes radiotherapy to brain is also used in conjunction.  

Dr Vikas Dua is Senior Consultant at DEPT. of Hematology and BMT at FMRI,Gurgaon,India.Artemis Hospital is well equipped and well manged for a complicated medical procedure like BMT.

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