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Patti Scialfa, wife of legendary musician Bruce Springsteen and a member of the iconic E Street Band, made a shocking revelation in 2018: she had been diagnosed with a rare form of blood cancer known as multiple myeloma. This news came to light during the premiere of the documentary “Road Diary: Bruce Springsteen and the E Street Band” at the Toronto Film Festival on September 8. The film provided an intimate look at Springsteen and his band during their latest tour, shedding light on the personal struggles that Scialfa has been facing.

Scialfa, now 71 years old, opened up about her diagnosis in the documentary, revealing how the illness has impacted her daily life. “This affects my immune system, so I have to be careful about what I choose to do and where I choose to go,” she shared. Despite the challenges she faces, Scialfa expressed gratitude for the moments when she can join her husband on stage and perform a few songs with the E Street Band.

Having joined the E Street Band just before the 1984 “Born in the U.S.A.” tour, Scialfa has been an integral part of the group for decades. In 1991, she married Springsteen, solidifying her connection to the rock legend. Her contributions to the band were recognized in 2014 when she was inducted into the Rock and Roll Hall of Fame.

### Understanding Multiple Myeloma

Multiple myeloma is a rare and complex cancer that affects the plasma cells in the bone marrow. Each year, more than 35,000 people in the United States are diagnosed with this disease, according to the American Cancer Society. Plasma cells play a crucial role in the body’s immune system, producing antibodies to fight off infections. However, in multiple myeloma, these plasma cells become cancerous and grow uncontrollably, leading to the production of abnormal antibodies that can harm the bones and other organs.

Dr. Cristina Gasparetto, a hematologic oncologist and professor of medicine at Duke University School of Medicine, explains that multiple myeloma is characterized by the proliferation of plasma cells within the bone marrow, causing damage and dysfunction in various parts of the body. Symptoms of the disease can vary but often include excessive fatigue, bone pain, and anemia. In some cases, patients may not exhibit any symptoms at the time of diagnosis.

### Diagnosis and Risk Factors

Diagnosing multiple myeloma typically involves a series of tests, including blood work, urine analysis, imaging studies, and bone marrow aspiration and biopsy. These tests help healthcare providers assess the extent of the disease and develop an appropriate treatment plan for the patient. Risk factors for multiple myeloma can vary, with age being a significant factor. The average age of diagnosis is around 69, although African-American and Latino patients tend to be diagnosed at a younger age.

While the exact cause of multiple myeloma remains unknown, certain factors such as genetic predisposition, environmental exposures (e.g., chemicals, radiation), and underlying health conditions may increase the risk of developing the disease. Firefighters exposed to fires and individuals with a higher body mass index are also at a greater risk of developing multiple myeloma. Despite these risk factors, the disease is not typically hereditary, although familial cases have been reported.

### Treatment and Prognosis

Treatment options for multiple myeloma have evolved significantly in recent years, leading to improved outcomes for patients. Oncologists may recommend a combination of therapies, including chemotherapy, immunotherapy, and targeted treatments, tailored to the individual’s specific needs. Monoclonal antibodies and immune modulating agents are commonly used to boost the immune system and target cancer cells effectively.

In some cases, patients may undergo a bone marrow transplant to achieve long-term remission and manage the progression of the disease. While multiple myeloma is not curable with conventional therapy, most patients respond well to treatment and experience prolonged survival. The average survival rate has increased substantially over the past two decades, with many patients living for more than 10 years after diagnosis.

In conclusion, Patti Scialfa’s brave battle with multiple myeloma highlights the importance of awareness, early detection, and access to comprehensive care for individuals facing this challenging disease. As researchers continue to advance our understanding of multiple myeloma and develop innovative treatments, there is hope for improved outcomes and a brighter future for patients worldwide.