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Prepublished online as a Blood First Edition Paper on October 3, 2002; DOI 10.1182/blood-2002-08-2436.
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Blood, 15 February 2003, Vol. 101, No. 4, pp. 1570-1571
NEOPLASIA
Brief report
Translocation t(11;14)(q13;q32) is the hallmark of IgM,
IgE, and nonsecretory multiple myeloma variants
Hervé Avet-Loiseau,
Richard Garand,
Laurence Lodé,
Jean-Luc Harousseau, and
Régis Bataille for the Intergroupe Francophone du
Myélome
From the Laboratory of Hematology, University Hospital,
and Department of Clinical Hematology, University Hospital, Nantes,
France.
In an attempt to address the issue of cytogenetic features of
multiple myeloma (MM) variants, we have analyzed a series of 8 IgM, 9 IgD, 2 IgE, and 14 nonsecretory (NS) MM cases using fluorescence in
situ hybridization. A very high incidence (83%) of t(11;14)(q13;q32) was detected in the IgM (7 of 8), IgE (2 of 2), and NS (11 of 14) MM
cases, but not in the IgD cases (2 of 9). Of note, no t(4;14) was
observed in this cohort of patients. This increased incidence of
t(11;14) was associated with 2 dominant features in these variants, namely, a "lymphoplasmacytic" presentation mainly in IgM MM and a
lower secreting capacity in the others, 2 features previously associated with t(11;14). Of major interest, t(11;14) was never observed in Waldenström macroglobulinemia or in IgG/IgA
"lymphoplasmacytic" lymphomas. Thus, for unknown
reasons, t(11;14) is the hallmark of IgM, IgE, and NS MM, (but not IgD
MM), with a 5-fold increase of its incidence compared to that of IgG
and IgA MM.

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