High cytogenics

This topic contains 7 replies, has 3 voices, and was last updated by  paulcjw 2 weeks, 4 days ago.

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  • #150851

    paulcjw
    Participant

    Hi all

    I am new on here. My husband had smouldering myeloma for 5 years that has progressed very recently and aggressively in the last 3 months. He was scheduled for the normal first line chemo treatment starting next week but we have just had a call to say they cannot do this due to high levels of cytogenics. They are going to discuss a trial with my husband this week. This is very scary and reading the internet ( I know know the best!) this is not a good prognosis. He is only 51. Has anyone been in this position?

    #150853

    rabbit
    Participant

    Hi paulcjw,

    Welcome to the forum.

    I can understand your worries. Please bear in mind that a lot of material online relating to myeloma is old: treatments have been improving, as indicated by the possibility of your husband having a trial – in other words new – treatment. Therefore the situation may not be as adverse as you have read.

    As you have probably read, about 25% of patients have cytogenetic abnormailities: I am one of them. Could you please provide more detail on your husband’s cytogenetics, as there are many different kinds? For example, mine are t (4, 14) and +1q.

    Regards
    Rabbit

    #150899

    paulcjw
    Participant

    Hi

    Thanks for your reply. Sorry for the late response I was waiting until we had his appointment. He is now classed as ultra high risk as he has 2 high risk – gaining of 1q and FDFR which when I have looked is t 4,14, so it sounds very similar. He starts the RADAR trial in 2 weeks.

    #150900

    rabbit
    Participant

    Hi paulcjw,

    I haven’t heard of FDFR before, and neither has ChatGPT.

    OK, assuming that your husband and I have the same cytogenetics, I hope that I can reassure you. I was diagnosed in 2022. I didn’t have a stem cell transplant, and went into remission in June 2023.

    Now, in May 2025, I am still in remission and getting on with life. Currently on holiday in Greece!

    I won’t pretend that it is easy. For example, yesterday the fatigue from my maintenance chemo was pretty bad, so I didn’t go far from the hotel, but overall the holiday has gone well.

    Your husband’s age helps with the prognosis, and so would a healthy lifestyle (eating healthy, exercise etc).

    Happy to discuss further.

    Rabbit

    #150901

    paulcjw
    Participant

    Sorry FGFR! When I googled it it it said 4,14 which I think is the same as you. Lovely to hear you are doing so well. I am so pleased for you and thank you for being so kind to reply to messages. Enjoy your holiday 😊

    #150961

    marial
    Participant

    Hi paulcjw, I also was diagnosed over 2 years with high risk cytogenetics t (11.:14) and del (17p). My treatment was induction with Dara, Lenalidomide, Velcade and Dex for 4 months before my SCT (which isn’t fun but you soon put it behind you!). I’m on maintenance now – Dara (once a month), Lenalidomide and have done lots of trips and feeling good. I’ll be celebrating my 2 year rebirth (SCT) on 21 June and just back from my monthly treatment at Royal Marsden and my Kappa Light Chains are under 6 which were at 276 when first diagnosed. It’s a very personal journey for each and every one of us but feel reassured that despite not being curable today, it is exceedingly very treatment and that’s even for high risk patients.

    #150962

    paulcjw
    Participant

    This is such a lovely post and I thank you from the bottom of my heart for giving even more hope. I am sending all my love to you for a very very long remission. Myeloma is treatable and that is what we all need to focus on ❤️ thanks again.

    #150963

    paulcjw
    Participant

    This is such a lovely post and I thank you from the bottom of my heart for giving even more hope. I am sending all my love to you for a very very long remission. Myeloma is treatable and that is what we all need to focus on ❤️ thanks again.

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