Diagnosis and staging
Myeloma diagnosis requires clonal plasma cells plus myeloma-defining events such as CRAB features or specific biomarkers. Serum and urine protein electrophoresis, immunofixation, free light chains, bone marrow biopsy and FISH establish the diagnosis and risk profile.
Related: Haematology → · Dr. Sachita Baniya profile → · All conditions →
Treatment and supportive care
Treatment combines proteasome inhibitors, immunomodulatory drugs, steroids and anti-CD38 antibodies, with autologous transplant for eligible patients. Supportive care addresses bone protection, infection prevention, thrombosis risk, kidney function and pain.
- Combination induction therapy
- Autologous transplant assessment
- Bone protection and fracture prevention
- Infection and thrombosis prophylaxis
- Response and MRD monitoring
Appointments
Dr. Baniya consults at Kathmandu Neurology Clinic & Cognitive Center, Durbar Marg, and also practises at Kathmandu Cancer Center (KCC) Nepal, Civil Service Hospital, Kathmandu, and Advanced Care Hospital. Bring all protein studies, bone marrow and imaging reports.