is confirmed that you have multiple myeloma, further exams are needed to determine the stage of the cancer. This
is an important step; it helps your doctor to choose the most appropriate treatment to fight the disease. In
general, the stage of cancer depends on the tumor size and degree of spread.
There are several methods
to describe the multiple myeloma stages, but the classification system mostly used is the Durie-Salmon. Durie-Salmon Myeloma Staging System is based on 3
stages: stage I, stage II and stage III.
the cancer is considered as a “stage 1 myeloma” when the following criteria are met:
low number of
low hemoglobin level
calcium levels can be normal
has revealed only 1 area of bone
and urine test has revealed small amount of monoclonal immunoglobulin.
at stage 2, the cancer can present the same characteristics as stage 1, the only difference is that the
myeloma cells has increased.
in this last stage, the cancer has become more aggressive, and your chance to survive has decreased
considerably. The cancer is considered as a “stage 3 myeloma” when the
following conditions are present:
amount of myeloma
level is below 8.5 g/dL
calcium level is above 12 mg/dL
- three or
more areas of bone are affected
amount of monoclonal immunoglobulin in blood or urine.