PMID- 27592569 OWN - NLM STAT- MEDLINE DCOM- 20170329 LR - 20181202 IS - 1672-7347 (Print) IS - 1672-7347 (Linking) VI - 41 IP - 7 DP - 2016 Jul TI - [Genetic abnormality in 101 cases of plasma cell dyscrasias by FISH technology and cytogenetic examination]. PG - 668-75 LID - 10.11817/j.issn.1672-7347.2016.07.002 [doi] AB - OBJECTIVE: To investigate several abnormal genes by the fluorescence in situ hybridization (FISH) in multiple myeloma (MM), monoclonal gammopathy of undetermined significance (MGUS) and reactive plasmacytosis (RP), and to increase the diagnosis and differential diagnosis levels for these common plasma diseases. 
 METHODS: The clinical manifestations, image and laboratory tests and the FISH detection were retrospectively analyzed in 61 cases of newly diagnosed MM, 20 cases of MGUS and 20 cases of RP from August, 2012 to February, 2015 in the Xiangya Hospital of Central South University. 
 RESULTS: Fifty cases among 61 MM patients showed genetic abnormality by FISH technology. The total positive rate was 81.9%. Among them, 19 cases (31.1%) had 1q21 amplification, 18 cases (29.5%) lacked D13S319, 10 cases (16.4%) missed RB1, 10 cases (16.4%) had IGH translocation and 7 cases (11.4%) lacked p53 gene. The positive rate for two or more genes abnormal was 19.8% in 12 cases. However, in 20 cases of MGUS patients, the positive detection rate was 25%, including 4 cases (20%) of 1q21 augmentation and 2 cases (10%) of IGH translocation. There were not two or more abnormal genes in one case. While in RP cases, only 1 case of patients had D13S319 abnormal gene, and the positive rate was only 5%. There was significant difference (P<0.05) among the 3 groups. 
 CONCLUSION: The positive detection rate is 81.9% in MM patients by FISH, which is significantly higher than that in patients with MGUS or RP. FISH technology can detect a variety of abnormal genes in MM. It is useful for the differential diagnosis and prognosis for MM, MGUS and RP. FAU - Cao, Pengfei AU - Cao P AD - Department of Hematology, Xianya Hospital, Central South University, Changsha 410008; Cancer Research Institute, Central South University, Changsha 410078, China. FAU - Li, Guiyuan AU - Li G AD - Cancer Research Institute, Central South University, Changsha 410078, China. FAU - Tan, Qian AU - Tan Q AD - Department of Hematology, Xianya Hospital, Central South University, Changsha 410008, China. FAU - Zhang, Ying AU - Zhang Y AD - Department of Hematology, Xianya Hospital, Central South University, Changsha 410008, China. FAU - Zhang, Guoping AU - Zhang G AD - Department of Hematology, Xianya Hospital, Central South University, Changsha 410008, China. FAU - Li, Xiaolin AU - Li X AD - Department of Hematology, Xianya Hospital, Central South University, Changsha 410008, China. FAU - He, Yuxiang AU - He Y AD - Department of Oncology, Xianya Hospital, Central South University, Changsha 410008, China. LA - chi PT - Journal Article PL - China TA - Zhong Nan Da Xue Xue Bao Yi Xue Ban JT - Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences JID - 101230586 SB - IM MH - Humans MH - *In Situ Hybridization, Fluorescence MH - Monoclonal Gammopathy of Undetermined Significance MH - Multiple Myeloma MH - *Paraproteinemias MH - Retrospective Studies MH - Translocation, Genetic EDAT- 2016/09/07 06:00 MHDA- 2017/03/31 06:00 CRDT- 2016/09/06 06:00 PHST- 2016/09/06 06:00 [entrez] PHST- 2016/09/07 06:00 [pubmed] PHST- 2017/03/31 06:00 [medline] AID - 10.11817/j.issn.1672-7347.2016.07.002 [doi] PST - ppublish SO - Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2016 Jul;41(7):668-75. doi: 10.11817/j.issn.1672-7347.2016.07.002.