The decision to get a stem cell transplant as part of multiple myeloma treatment is one of the areas where some people have a particularly challenging time. In this decision point, specialists collaborating with SurvivorNet say you may well get conflicting opinions on the right course of action. This may be driven by your overall health or how much treatment you want to endure.
What we do know is that people who have a stem cell transplant (also called a bone marrow transplant) earlier in their treatment course usually stay in remission longer. But other factors are important. According to SurvivorNet advisor Dr. Nina Shah of the University of California at San Francisco, “some patients will say ‘Well, I can’t do this right now. I have this thing going on in my family and I don’t have six to eight weeks to commit to this transplant. But maybe next year I can.’ That’s important.” What matters most is figuring out what works best for you.
Dr. Shah says where you can get a major difference in opinion is a stem cell transplant. She says it can be really hard because one doctor is saying you need a procedure, which will mean six weeks of your life going to the hospital, getting stem cells collected, get a high dose of chemotherapy, and then recover. And another, she says, is telling you that you don’t need any of that.
Experts talk to Survivornet about the significant new advances in treating patients who have recently been diagnosed with later-stage CLL.
Making Treatment Choices--SurvivorNet's Carefully Constructed Resources
The Revolution in Multiple Myeloma Treatment
Standard Risk vs. High Risk Multiple Myeloma
Treatment for Multiple Myeloma – Induction Therapy
Adding Daratumumab to Front-line Therapy in Multiple Myeloma
Early-Stage Treatment Standard of Care – Triplet Therapy
Myeloma Initial Treatment: How Will I Feel?
The First Treatment for Multiple Myeloma — Combination Therapy
Multiple Myeloma Initial Treatment - What's Right For You?
Which Triple-Drug Regimen is a Better Frontline Treatment for Multiple Myeloma?
A New Way to Deliver Daratumumab -- An Exciting Development in Multiple Myeloma
Stem cell transplant, also known as bone marrow transplant, is often recommended as a second step in treating multiple myeloma. It’s a major undertaking and not always a straightforward decision.
What is a Stem Cell Transplant?
Decision Making--Should I Get a Stem Cell Transplant?
Preparing for a Stem Cell Transplant
Transplant with Your Own Cells: Effective, Not Curative
Stem Cell Transplant for Multiple Myeloma - What to Expect
Stem Cell Transplant for Multiple Myeloma - Side Effects