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Prepublished online as a Blood First Edition Paper on April 17, 2003; DOI 10.1182/blood-2002-11-3333.

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Blood, 1 August 2003, Vol. 102, No. 3, pp. 1070-1071

NEOPLASIA
Brief report

CD20 is associated with a small mature plasma cell morphology and t(11;14) in multiple myeloma

Nelly Robillard, Hervé Avet-Loiseau, Richard Garand, Philippe Moreau, Danielle Pineau, Marie-Josée Rapp, Jean-Luc Harousseau, and Régis Bataille

From the Laboratory of Hematology and Institut National de la Santé et de la Recherche Médicale (INSERM) U463, Institute of Biology, Nantes, France; and Department of Clinical Hematology, Nantes, Cedex 01, France

CD20 has been reinvestigated in 66 patients with multiple myeloma (MM). Twelve of the patients (18%) expressed CD20, including 5 of 50 patients at diagnosis presenting 100% CD20+ cells. Seven (58%) of 12 CD20+ patients with MM had a small mature plasma cell morphology as opposed to 4 (7%) of 54 with CD20- MM (P = .0001). Of note, 10 (83%) of 12 patients with CD20+ MM had t(11;14) as opposed to 5 of 54 (9%) CD20- patients (P < .001). All the patients with 100% CD20+ cells presented with t(11;14) and 4 of 5 with a small mature plasma cell morphology. Thus, 66% of the patients with t(11;14) expressed CD20, whereas only 4% of the 51 patients lacking such translocation expressed CD20 (P < .0001). In conclusion, CD20 expression is associated with small mature plasma cell morphology and with t(11;14) in patients with MM.


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