Hi, I have had smoldering MM for 14 years (diagnosed in 2002 at the age of 37). Up to now, I did not need treatment for the SMM. Lately, I started to have a lot of swollen lymph nodes. Removal and biopsy of some lymph nodes show that there are a lot of monoclonal plasma cells in the lymph nodes. Moreover, tests also revealed amyloidosis in the lymph nodes. According to my MM doctor, I have disease progression but in a very unusual way. It is very rare that MM shows up in the lymph nodes. Also the presence of amyloidosis in that location is rather exceptional. According to my doctor, I will probably need treatment now (chemo and ASCT). We are waiting for the results of more tests before deciding on the treatment plan. My question to you is if you heard of this unusual presentation of our disease in the lymph nodes? Anyone else with this disease pattern? Any thoughts? Thanks!! Greetje