Hi Mavis,
Thanks for the warm welcome.
You're right, I should have at least mentioned my mum's age. She's just turned 55 and was diagnosed through routine blood tests, which I think were part of one of her usual checkups. My mum's suffered from pyoderma gangrenosum for much of her life and so blood tests are nothing out of the ordinary.
Thanks also for your opinion on the difficult question of whether to opt for a transplant. We had a consultation with the haematologist last night that I found a bit unnerving, mainly because he told mum that an allogeneic transplant could be classed as curative (which, based on the research I've seen, is not correct) but also because he failed to make clear to her just how risky that procedure can be. Essentially, he thinks mum should have induction threapy (VCD) followed by high-dose therapy ending with an ASCT. And I don't think there's anything in principle wrong with him proposing that line of treatment. But for him to not fully explain the implications of that choice, nor outline alternative options, does strike me as some kind of failing.
That said, he did, to his credit, refer us to a Myoloma specialist, and in other respects he was incredibly helpful.
Very stressful times!