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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had total hysterectomy due to endometriosis. Had been getting iron infusions. Severe back and shoulder pain, fatigue, bone pain. Cancer?

I am 47,female, and have had rare health issues, of late. I had a total hysterectomy at 26 due to endometriosis . I have never had a history of bladder or kidney infections but have had 2 in the past year. I have been severely anemic, over the past few years that have required me to have regular iron infusions every few months. I recently found out that my ESR rate is over 125. Cancer has been brought up. Dr. s are trying to get me to MAYO Clinic. I also have severe back/ shoulder pain and am very fatigued, bone pain in my legs and lots of numbness. What do you think ? What type of cancer could it be ?
Mon, 23 Sep 2013
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Oncologist, Surgical 's  Response
Such high values of ESR are known to occur in multiple myeloma (a type of blood cancer) and in some autoimmune diseases (like rheumatoid arthritis). Your symptoms can be explained by both, although they are more in favour of autoimmune diseases. You need to undergo a number of tests to rule out multiple myeloma including serum protein electrophoresis, urine Bence-Jones proteins and bone scan.
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