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Blood, 1 July 2005, Vol. 106, No. 1, pp. 353-355.
Prepublished online as a Blood First Edition Paper on March 10, 2005; DOI 10.1182/blood-2005-01-0033.


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Submitted January 13, 2005
Accepted March 2, 2005

Immunohistochemistry accurately predicts FGFR3 aberrant expression and t(4;14) in multiple myeloma

Hong Chang*, A K Stewart, Xiao Ying Qi, Zhi Hua Li, Qi Long Yi, and Suzanne Trudel

Department of Laboratory Hematology, Princess Margaret Hospital/University Health Network, Toronto, Canada; Department of Laboratory Medicine and Pathobiology, Princess Margaret Hospital/University Health Network, Toronto, Canada
Department of Medical Oncology and Hematology, Princess Margaret Hospital/University Health Network, Toronto, Canada; McLaughlin Center for Molecular Medicine, University of Toronto, Toronto, Canada
Department of Medical Oncology and Hematology, Princess Margaret Hospital/University Health Network, Toronto, Canada
Department of Biostatistics, Princess Margaret Hospital/University Health Network, Toronto, Canada

* Corresponding author; email: hong.chang{at}uhn.on.ca.

The t(4;14) translocation detected by fluorescence in situ hybridization (FISH) is an independent prognostic factor for an adverse outcome of multiple myeloma (MM). As t(4;14) uniquely results in FGFR3 expression, decalcified, paraffin-embedded bone marrow biopsies were immunostained for FGFR3 and its expression was correlated with the t(4;14) status. FISH detected t(4;14) in 16 (19%) of 85 MM patient specimens and immunocytochemistry detected aberrant FGFR3 expression in 13 (15%). Twelve (75%) t(4;14) positive cases expressed FGFR3 and 12 (92%) FGFR3 positive cases harbored a t(4;14). FGFR3 expression and t(4;14) were strongly correlated (p< 0.0001). FGFR3 expression by immunohistochemistry was associated with the IgA isotype (p=0.0059), a shorter progression free survival (median 11.5 vs. 25.8 months, p=0.0172) and a shorter overall survival (median 19.2 vs 46.3 months, p=0.0309).


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