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Plasma cell karyotype in multiple myeloma
J Gould, R Alexanian, A Goodacre, S Pathak, B Hecht and B Barlogie
University of Texas, M.D. Anderson Hospital & Tumor Institute, Houston
77030.
Karyotypic abnormalities were studied in multiple myeloma and were
correlated with clinical features. Among 115 evaluable patients, 46% had an
abnormal karyotype. Trisomy 3, 5, 9, and 15 and monosomy 13 and 16 were the
most common clonal abnormalities. Translocations described previously in
other B cell malignancies occurred in nine patients, including four with
t(8;14)(q24;q32) translocations. The association of all t(8;14)
abnormalities with IgA protein type suggested a pathogenetic relationship
between a specific karyotypic abnormality and myeloma protein type.
Hypodiploidy occurred mainly in patients with only Bence Jones protein, was
associated with resistance to therapy, and justified the early
consideration of investigational therapies.
Volume 71,
Issue 2,
pp. 453-456,
02/01/1988
Copyright © 1988 by The American Society of Hematology

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