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Multiple Myeloma

Multiple myeloma is a cancer of plasma cells (antibody-producing white blood cells). It is rare in dogs and cats but causes widespread effects through excessive antibody production and bone marrow infiltration.

Key Facts

  • Plasma cells multiply uncontrollably in bone marrow
  • Dogs: classic bone marrow form; cats: often affects liver/spleen instead
  • Complications: hypercalcemia, kidney disease, bone destruction, hyperviscosity syndrome, bleeding disorders
  • Signs: weakness, lethargy, vomiting, bone pain, lameness, nosebleeds
  • Diagnosis: elevated globulin on blood work, serum protein electrophoresis (monoclonal spike), bone marrow biopsy
  • Moth-eaten bone appearance on X-rays; Bence-Jones proteins in urine
  • Treatment: chemotherapy (melphalan + prednisone is standard); cure is rare
  • Median survival dogs: 220-930 days with treatment; cats: 42-281 days
  • Species: dogs and cats (rare)

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