If you’ve been diagnosed with cancer, you’re probably hoping to hear your doctor use the word “remission.” It marks a major turn in your care and long-term health. But it’s more complicated than simply being done with treatment.
The initial approach to the patient is to evaluate the following parameters:
Detection of a monoclonal (or myeloma) protein (M protein) in the serum or urine.
Detection of more than 10% of plasma cells on a bone marrow examination.
Detection of lytic bone lesions or generalized osteoporosis in skeletal x-rays.
Presence of soft tissue plasmacytomas.
Serum albumin and beta-2-microglobulin levels.
Detection of free kappa and lambda serum immunoglobulin light...
Partial remission means the cancer is still there, but your tumor has gotten smaller -- or in cancers like leukemia, you have less cancer throughout your body. Some doctors tell patients to think of their cancer as “chronic,” like heart disease. It’s something you will need to continue to check. If you’re in partial remission, it may mean you can take a break from treatment as long as the cancer doesn’t begin to grow again.
Complete remission means that tests, physical exams, and scans show that all signs of your cancer are gone. Some doctors also refer to complete remission as “no evidence of disease (NED).” That doesn’t mean you are cured.
There’s no way for doctors to know that all of the cancer cells in your body are gone, which is why many doctors don’t use the word “cured.” If cancer cells do come back, it usually happens within the 5 years following the first diagnosis and treatment.
Some cancer cells can remain unnoticed in the body for years after treatment. If a cancer returns after it has been in remission, it’s called a “recurrence.” It’s normal to be concerned that this will happen to you. Every situation is different, and there’s no way to predict what will happen.
Your doctor or health care center will continue to check for signs of cancer or health problems related to your treatment. It’s crucial to get all recommended checkups, even if you have no symptoms. Follow-up care can include physical exams, blood tests, and imaging tests.