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November 9, 2011
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Multiple Myeloma

Weight Gain & Cancer Risk

Medical Author: Melissa Conrad Stöppler, MD
Medical Editor: William C. Shiel Jr., MD, FACP, FACR

Could weight gain increase your risk for multiple myeloma?Excess weight is a known risk factor for many chronic diseases, such as diabetes and heart disease. Obesity has also been linked an increased risk for developing some cancers. To clarify the effects of weight gain on cancer risk, researchers in 2007 conducted an analysis of many studies reported in medical journals that describe 282,137 cases of cancer. The researchers wanted to see if weight gain had an effect on the risk for certain cancer types.

In particular, the researchers looked at the risk of cancer associated with a weight gain corresponding to an increase of 5 kg/m2 in body mass index (BMI). In terms of actual pounds gained, a man with a normal-range BMI of 23 would need to gain 15 kg (33 lbs.) of weight, while a woman with a BMI of 23 would need to gain 13 kg (28.6 lbs.) to correspond to an increase of 5 in the BMI.

The results, published in the Lancet in February 2008, revealed that weight gain is positively associated with the risk of developing a variety of types of cancer as described below.

For women, a weight gain corresponding to an increase of 5 in the BMI resulted in a significant increase in risk for developing four cancer types:

In women, a weaker but still positive increase in cancer risk with weight gain was demonstrated for the following cancer types:

What is multiple myeloma?

Multiple myeloma is a type of cancer. Cancer is a group of many related diseases. Myeloma is a cancer that starts in plasma cells, a type of white blood cell. It's the most common type of plasma cell cancer.

Normal blood cells

Most blood cells develop from cells in the bone marrow called stem cells. Bone marrow is the soft material in the center of most bones.

Stem cells mature into different types of blood cells. Each type has a special job:

  • White blood cells help fight infection. There are several types of white blood cells.
  • Red blood cells carry oxygen to tissues throughout the body.
  • Platelets help form blood clots that control bleeding.

Plasma cells are white blood cells that make antibodies. Antibodies are part of the immune system. They work with other parts of the immune system to help protect the body from germs and other harmful substances. Each type of plasma cell makes a different antibody.

Myeloma cells

Myeloma, like other cancers, begins in cells. In cancer, new cells form when the body doesn't need them, and old or damaged cells don't die when they should. These extra cells can form a mass of tissue called a growth or tumor.

Myeloma begins when a plasma cell becomes abnormal. The abnormal cell divides to make copies of itself. The new cells divide again and again, making more and more abnormal cells. These abnormal plasma cells are called myeloma cells.

In time, myeloma cells collect in the bone marrow. They may damage the solid part of the bone. When myeloma cells collect in several of your bones, the disease is called "multiple myeloma." This disease may also harm other tissues and organs, such as the kidneys.

Myeloma cells make antibodies called M proteins and other proteins. These proteins can collect in the blood, urine, and organs.

Picture of normal plasma cells that help protect the body from germs and other harmful substances.
Normal plasma cells help protect the body from germs and other harmful substances.

Picture of myeloma cells
Myeloma cell (abnormal plasma cell) making M proteins.



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Multiple Myeloma - Symptoms

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What is the prognosis for your multiple myeloma?

Multiple Myeloma - Symptoms At Onset Of Disease

The MedicineNet physician editors asked:

The symptoms of multiple myeloma can vary greatly from patient to patient. What were your symptoms at the onset of your disease?


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Suggested Reading on Multiple Myeloma by Our Doctors

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Multiple Myeloma

What is apheresis?

Apheresis is a medical procedure that involves removing whole blood from a donor or patient and separating the blood into individual components so that one particular component can be removed. The remaining blood components then are re-introduced back into the bloodstream of the patient or donor.

Apheresis is used for the collection of donor blood components (such a platelets or plasma) as well as for the treatment for certain medical conditions in which a part of the blood that contains disease-provoking elements is removed.

Apheresis is also called pheresis or hemapheresis. The terminology used may also reflect the component of blood that is being removed, such as:

  • Plasma (plasmapheresis)
  • Platelets (plateletpheresis)
  • Leukocytes (leukapheresis or leukopheresis)
  • Lymphocytes (lymphopheresis or lymphapheresis)
  • Red blood cells (erythropheresis)
...

Read the Apheresis (Hemapheresis, Pheresis) article »







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