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For medical questions, we encourage you to review our information with your doctor.
- Drug Therapy for Multiple Myeloma
- Radiation Therapy for Multiple Myeloma
- Surgery for Multiple Myeloma
- Stem Cell Transplant for Multiple Myeloma
- CAR T-cell Therapy for Multiple Myeloma
- Supportive Treatments for People with Multiple Myeloma
- Treatment Options for Multiple Myeloma and Other Plasma Cell Disorders
- If You Have Multiple Myeloma
Risk Factors for Multiple Myeloma
A risk factor is anything that changes a person’s chance of getting a disease such as cancer. Different cancers have different risk factors. For example, exposing skin to strong sunlight is a risk factor for skin cancer. Smoking is a risk factor for lung cancer and many other cancers. But risk factors don’t tell us everything. People who have no risk factors can still get the disease. Also, having a risk factor, or even several, does not mean that a person will get the disease.
Here are a few risk factors that could affect someone’s chance of getting multiple myeloma.
Age
The risk of developing multiple myeloma goes up as people get older. Less than 1% of cases are diagnosed in people younger than 35. Most people diagnosed with this cancer are at least 65 years old.
Sex
Men are slightly more likely to develop multiple myeloma than women.
Race
Multiple myeloma is more than twice as common in African Americans than in White Americans. The reason is not known.
Family history
Multiple myeloma seems to run in some families. Someone who has a sibling or parent with myeloma is more likely to get it than someone who does not have this family history. Still, most patients have no affected relatives, so this accounts for only a small number of cases.
Excess body weight
Some research has suggested that having excess body weight increases a person’s risk of developing myeloma.
Having other plasma cell diseases
People with monoclonal gammopathy of undetermined significance (MGUS) or solitary plasmacytoma are at higher risk of developing multiple myeloma than someone who does not have these diseases.
The American Cancer Society medical and editorial content team
Our team is made up of doctors and oncology certified nurses with deep knowledge of cancer care as well as editors and translators with extensive experience in medical writing.
Alexander DD, Mink PJ, Adami HO, et al. Multiple myeloma: a review of the epidemiologic literature. Int J Cancer. 2007;120 Suppl 12:40-61.
Howlader N, Noone AM, Krapcho M, Miller D, Bishop K, Kosary CL, Yu M, Ruhl J, Tatalovich Z, Mariotto A, Lewis DR, Chen HS, Feuer EJ, Cronin KA (eds). SEER Cancer Statistics Review, 1975-2014, National Cancer Institute. Bethesda, MD, https://seer.cancer.gov/csr/1975_2014/, based on November 2016 SEER data submission, posted to the SEER web site, April 2017.
Marshall A. Lichtman. Obesity and the Risk for a Hematological Malignancy: Leukemia, Lymphoma, or Myeloma. Oncologist. 2010 Oct; 15(10): 1083–1101.
Munshi NC, Anderson KC. Ch. 112 Plasma cell neoplasms. In: DeVita VT, Hellman S, Rosenberg SA, eds. Cancer: Principles and Practice of Oncology. 10th edition. Philadelphia, PA: Lippincott Williams & Wilkins; 2015.
Rajkumar SV, Dispenzieri A. Multiple myeloma and related disorders. In: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper JE. Abeloff’sClinical Oncology. 5th edition. Philadelphia, PA. Elsevier: 2014:1991-2017.
VanValkenburg ME, Pruitt GI, Brill IK, et al. Family history of hematologic malignancies and risk of multiple myeloma: differences by race and clinical features. Cancer Causes Control. 2016 Jan;27(1):81-91.
Last Revised: January 19, 2024
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