Getting diagnosed
There is no UK screening programme for myeloma because:
this type of cancer is uncommon, so many people would have unnecessary tests
the benefits don't outweigh the costs
See your GP if you have any symptoms or are worried about your cancer risk.
Screening means testing people for early stages of a disease. This is before they have any symptoms. For screening to be useful the tests:
need to be reliable at picking up cancers
overall must do more good than harm to people taking part
must be something that people are willing to do
Screening tests are not perfect and have some risks. The screening programme should also be good value for money for the NHS.
Talk to your GP if you think you are at higher than average risk of myeloma.
You have regular appointment to check for signs of myeloma if you have a medical condition called MGUS. MGUS stands for monoclonal gammopathy of undetermined significance (MGUS).
MGUS is not cancer. But some people with it can go on and develop myeloma. If you have MGUS, your plasma cells make too many abnormal immunoglobulins. Doctors call these paraproteins or M protein. These show up in your blood test.
This condition does not usually cause any problems. Sometimes it is only picked up by chance when you have blood tests for another reason.
Some people with MGUS go on to develop myeloma. So your specialist or GP do blood tests every 6 to 12 months to monitor you. About 1 out of 100 people with MGUS (1%) develop myeloma each year.
Last reviewed: 08 Nov 2023
Next review due: 08 Nov 2026
Myeloma doesn't always cause symptoms in its early stages. It might be picked up on a routine blood test. The main symptoms include bone pain in the back, hips and ribs and tiredness.
To diagnose myeloma you usually have blood and urine tests first. Depending on the results of these you might have a bone marrow test, x-rays and scans.
The stage of your myeloma tells your doctor how it is affecting you and how it might develop. Doctors use the stage of your myeloma to help them decide on the best treatment for you.
There are different types of myeloma. Your type is named after the abnormal immunoglobulin (paraprotein) made by the myeloma cells.
The main treatments for myeloma include targeted cancer drugs, chemotherapy and steroids.
Myeloma is a type of blood cancer that develops from plasma cells made in the bone marrow. Bone marrow is the spongy tissue found inside the inner part of some of our large bones.

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