PMID- 25633778 OWN - NLM STAT- MEDLINE DCOM- 20160212 LR - 20181113 IS - 1865-3774 (Electronic) IS - 0925-5710 (Linking) VI - 101 IP - 6 DP - 2015 Jun TI - PAX5-positive plasma cell myeloma with t(9;14;11)(p13;q32;q13), a novel complex variant translocation of t(11;14)(q13;q32) and t(9;14)(p13;q32). PG - 608-11 LID - 10.1007/s12185-015-1749-5 [doi] AB - We describe herein the case of a 64-year-old man with a diagnosis of plasma cell myeloma (PCM). A chromosome analysis based on G-banding and spectral karyotyping revealed the following complex karyotype: 46,XY,del(3)(p?), t(4;15)(q31;q24),t(9;14;11)(p13;q32;q13),add(15)(q24),add(18)(q21). Fluorescence in situ hybridization (FISH) detected one signal each for the immunoglobulin heavy chain (IGH) and cyclin D1 (CCND1) genes, and three fusion signals of IGH and CCND1. FISH analysis of metaphase spreads revealed fusion signals on the derivative chromosomes 9, 11, and 14. Immunohistochemical analysis identified abnormal expression of CCND1 and PAX5. PAX5-positive PCM is rare because the down-regulation of PAX5 is essential for the terminal differentiation of B cells into plasma cells. To the best of our knowledge, this is the first reported case of a novel complex variant translocation of t(11;14)(q13;q32) and t(9;14)(p13;q32). FAU - Sato, Kazuyuki AU - Sato K AD - Division of Hematology and Oncology, Department of Internal Medicine, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, Kanagawa, 216-8511, Japan. FAU - Sakai, Hirotaka AU - Sakai H FAU - Kato, Masayuki AU - Kato M FAU - Nishio, Yuji AU - Nishio Y FAU - Tsuruoka, Yuka AU - Tsuruoka Y FAU - Uemura, Yu AU - Uemura Y FAU - Yokoi, Satoshi AU - Yokoi S FAU - Saito, Tasuku AU - Saito T FAU - Matsunawa, Manabu AU - Matsunawa M FAU - Suzuki, Yoshinori AU - Suzuki Y FAU - Isobe, Yasushi AU - Isobe Y FAU - Inoue, Yasuyuki AU - Inoue Y FAU - Takahashi, Masatomo AU - Takahashi M FAU - Miura, Ikuo AU - Miura I LA - eng PT - Case Reports PT - Journal Article DEP - 20150130 PL - Japan TA - Int J Hematol JT - International journal of hematology JID - 9111627 RN - 0 (CCND1 protein, human) RN - 0 (Immunoglobulin Heavy Chains) RN - 0 (PAX5 Transcription Factor) RN - 0 (PAX5 protein, human) RN - 136601-57-5 (Cyclin D1) SB - IM MH - Chromosome Banding MH - Chromosomes, Human, Pair 11/genetics MH - Chromosomes, Human, Pair 14/genetics MH - Chromosomes, Human, Pair 9/genetics MH - Cyclin D1/genetics MH - Gene Expression Regulation, Neoplastic MH - Humans MH - Immunoglobulin Heavy Chains/genetics MH - In Situ Hybridization, Fluorescence MH - Karyotyping MH - Male MH - Middle Aged MH - Multiple Myeloma/*genetics/*pathology MH - PAX5 Transcription Factor/*analysis/genetics MH - Plasma Cells/metabolism/*pathology MH - *Translocation, Genetic EDAT- 2015/01/31 06:00 MHDA- 2016/02/13 06:00 CRDT- 2015/01/31 06:00 PHST- 2014/09/26 00:00 [received] PHST- 2015/01/21 00:00 [accepted] PHST- 2015/01/20 00:00 [revised] PHST- 2015/01/31 06:00 [entrez] PHST- 2015/01/31 06:00 [pubmed] PHST- 2016/02/13 06:00 [medline] AID - 10.1007/s12185-015-1749-5 [doi] PST - ppublish SO - Int J Hematol. 2015 Jun;101(6):608-11. doi: 10.1007/s12185-015-1749-5. Epub 2015 Jan 30.