PMID- 23200818 OWN - NLM STAT- MEDLINE DCOM- 20130228 LR - 20130108 IS - 2210-7762 (Print) VI - 205 IP - 12 DP - 2012 Dec TI - Deletion(20q) as the sole abnormality in plasma cell myeloma is not associated with plasma cells as identified by cIg FISH. PG - 644-52 LID - S2210-7762(12)00257-8 [pii] LID - 10.1016/j.cancergen.2012.10.007 [doi] AB - Deletion of 20q is a common finding in myeloid disorders but it is also observed in plasma cell myeloma (PCM). As a del(20q) in a patient receiving treatment for myeloma may indicate therapy-related myelodysplastic syndrome (t-MDS), it is important to differentiate chromosome abnormalities associated with myeloma from those reflecting t-MDS. We performed fluorescence in situ hybridization (FISH) using a 20q12 probe (D20S108) in conjunction with cytoplasmic immunoglobulin (cIg) staining in 20 PCM cases with a del(20q) in order to confirm the cell type involved. Of the nine cases studied with a clone showing a del(20q) as the sole abnormality, 8 of 9 demonstrated loss of the D20S108 signals in non-plasma cells only and 5 of 9 had either a confirmed myeloid malignancy in addition to PCM or showed evidence of dysplastic changes in the marrow; however, of the 11 patients with a del(20q) within a complex PCM karyotype, 4 of 11 showed loss of the D20S108 signals in plasma cells only and 7 of 11 showed no significant loss in either plasma cells or non-plasma cells. Therefore, our results indicate that a del(20q) as the sole abnormality in PCM is present in non-plasma cells and, therefore, suggests the presence of an associated myeloid malignancy. CI - Copyright (c) 2012 Elsevier Inc. All rights reserved. FAU - White, Joanne S AU - White JS AD - Victorian Cancer Cytogenetics Service, St. Vincent's Hospital Melbourne, Fitzroy, Australia. jo.white@svhm.org.au FAU - Zordan, Adrian AU - Zordan A FAU - Batzios, Crisoula AU - Batzios C FAU - Campbell, Lynda J AU - Campbell LJ LA - eng PT - Journal Article DEP - 20121130 PL - United States TA - Cancer Genet JT - Cancer genetics JID - 101539150 RN - 0 (DNA Probes) RN - 0 (Immunoglobulins) SB - IM MH - Aged MH - Aged, 80 and over MH - Cell Nucleus/metabolism MH - *Chromosome Deletion MH - Chromosomes, Human, Pair 20/*genetics MH - Cytoplasm/metabolism MH - DNA Probes/metabolism MH - Female MH - Humans MH - Immunoglobulins/*metabolism MH - In Situ Hybridization, Fluorescence/*methods MH - Male MH - Middle Aged MH - Multiple Myeloma/*genetics/*pathology MH - Plasma Cells/*pathology EDAT- 2012/12/04 06:00 MHDA- 2013/03/01 06:00 CRDT- 2012/12/04 06:00 PHST- 2012/05/24 00:00 [received] PHST- 2012/10/09 00:00 [revised] PHST- 2012/10/12 00:00 [accepted] PHST- 2012/12/04 06:00 [entrez] PHST- 2012/12/04 06:00 [pubmed] PHST- 2013/03/01 06:00 [medline] AID - S2210-7762(12)00257-8 [pii] AID - 10.1016/j.cancergen.2012.10.007 [doi] PST - ppublish SO - Cancer Genet. 2012 Dec;205(12):644-52. doi: 10.1016/j.cancergen.2012.10.007. Epub 2012 Nov 30.