Multiple Myeloma Blood Test

What is Multiple Myeloma?

Multiple myeloma is a blood cancer that develops in plasma cells, the white blood cells responsible for producing antibodies. It is caused by the uncontrolled multiplication of cancerous plasma cells that produce abnormal monoclonal proteins (M proteins) instead of healthy antibodies. The Protein Electrophoresis with Total Protein and Reflex to IFE, Serum is the most important test for diagnosing multiple myeloma because it detects characteristic abnormal protein patterns.

RECOMMENDED TEST Protein Electrophoresis, with Total Protein and Reflex to IFE, Serum
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What causes multiple myeloma?

Multiple myeloma is caused by genetic mutations in plasma cells that lead to uncontrolled growth and reproduction of these cells in the bone marrow. While the exact trigger for these mutations is not fully understood, the cancerous plasma cells begin producing abnormal monoclonal proteins (M proteins) instead of functional antibodies. Risk factors that may contribute include age over 65, family history of the disease, exposure to radiation or certain chemicals, and weakened immune system conditions.

What is the best test for multiple myeloma?

The Protein Electrophoresis with Total Protein and Reflex to IFE, Serum is the most important test for multiple myeloma because it detects the characteristic abnormal protein patterns produced by cancerous plasma cells, specifically identifying monoclonal proteins (M proteins). The test includes a reflex to immunofixation electrophoresis, which provides additional specificity for identifying the exact type of abnormal protein. The Kappa/Lambda Light Chains, Free with Ratio and Reflex to Immunofixation is another essential test that measures the ratio of free light chains in the blood, which is typically abnormal in multiple myeloma patients. Together, these tests provide comprehensive protein analysis that confirms diagnosis and helps assess disease severity.

When should I get tested for multiple myeloma?

You should get tested if you experience persistent bone pain (especially in the back or ribs), unexplained fatigue and weakness, frequent infections, unexplained weight loss, or if routine blood work shows elevated protein levels or anemia. Testing is also important if you have a condition called MGUS (monoclonal gammopathy of undetermined significance), which can progress to multiple myeloma. Early detection through blood testing is crucial because multiple myeloma often develops gradually, and symptoms may not appear until the disease has progressed significantly.

What are the symptoms of multiple myeloma?
Multiple myeloma symptoms include bone pain and fractures (particularly in the spine, ribs, and hips), extreme fatigue due to anemia, frequent infections from weakened immunity, unexplained weight loss, excessive thirst and urination from elevated calcium levels, and kidney problems. Some people also experience numbness or weakness in the legs, confusion, and nausea. Many patients have no symptoms in early stages and are diagnosed through abnormal findings on routine blood tests. The severity and combination of symptoms vary widely among individuals.
Who is at risk for multiple myeloma?
Risk factors for multiple myeloma include age over 65 (most cases occur in people older than 60), being male, African American ethnicity (twice the risk compared to whites), family history of multiple myeloma or MGUS, history of MGUS (precursor condition), obesity, and exposure to radiation or certain chemicals like pesticides or petroleum products. People with weakened immune systems or chronic inflammatory conditions may also have increased risk. However, many people diagnosed with multiple myeloma have no identifiable risk factors.
What happens if multiple myeloma is left untreated?
Untreated multiple myeloma leads to serious complications including severe bone damage with pathological fractures, kidney failure from abnormal protein buildup, severe anemia causing extreme fatigue and heart problems, hypercalcemia (high calcium levels) causing confusion and kidney damage, increased susceptibility to life-threatening infections, spinal cord compression from vertebral collapse, and blood hyperviscosity syndrome from excessive protein production. The disease is progressive and ultimately fatal without treatment. Early diagnosis and treatment significantly improve quality of life and extend survival.
Can multiple myeloma be diagnosed with a blood test?
Yes, blood tests are the primary diagnostic tools for multiple myeloma. Protein electrophoresis detects abnormal monoclonal proteins, free light chain tests reveal abnormal kappa/lambda ratios, immunofixation identifies specific abnormal proteins, and immunoglobulin panels show imbalanced antibody levels characteristic of the disease. Blood tests also reveal secondary effects like anemia, elevated calcium, kidney dysfunction, and elevated beta-2 microglobulin. While bone marrow biopsy and imaging studies confirm diagnosis and staging, blood tests provide crucial initial evidence and are used for ongoing monitoring throughout treatment.
How is multiple myeloma treated?
Multiple myeloma treatment includes targeted therapy drugs (proteasome inhibitors and immunomodulatory drugs), chemotherapy to kill cancer cells, corticosteroids to reduce inflammation, stem cell transplantation using the patient's own cells after high-dose chemotherapy, radiation therapy for bone pain and tumors, and supportive care including bisphosphonates for bone health, antibiotics for infection prevention, and blood transfusions for anemia. Treatment approach depends on disease stage, symptoms, age, and overall health. Many patients undergo induction therapy followed by stem cell transplant and maintenance therapy. While not curable, modern treatments often achieve long remission periods.
How can I prevent multiple myeloma?
There is no proven way to prevent multiple myeloma because the exact causes are unknown. However, you can reduce risk by maintaining a healthy weight through diet and exercise, avoiding exposure to radiation and toxic chemicals like pesticides and benzene when possible, managing conditions that affect immune function, and getting regular health checkups. If you have MGUS, regular monitoring with blood tests every 6-12 months allows early detection if progression occurs. While family history cannot be changed, awareness allows for earlier screening and detection in high-risk individuals.
What can I do at home to support multiple myeloma treatment?
Home support for multiple myeloma includes staying well-hydrated (8-10 glasses of water daily) to protect kidneys, eating a nutrient-rich diet with adequate protein and calcium, engaging in gentle weight-bearing exercise to maintain bone strength while avoiding injury, getting adequate rest to combat fatigue, practicing good hygiene to prevent infections, managing pain with prescribed medications and heat therapy, and avoiding crowds and sick people during treatment. Emotional support through counseling, support groups, and stress-reduction techniques like meditation is also valuable. Always coordinate home care strategies with your medical team and report new symptoms promptly.
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If you have any questions, please text us at 754-799-7833 or email support@privatemdlabs.com and we'll gladly help you.
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Protein Electrophoresis, with Total Protein and Reflex to IFE, Serum
Google reviews 505 reviews
$173 $135
What's included
Fast & easy, results by email & SMS
No need to visit a doctor
Private & confidential
No insurance needed
Results explained
No extra fees paid at the lab

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