Chromosome 1p21 deletion is a novel prognostic marker in patients with multiple myeloma

被引:38
作者
Chang, Hong
Ning, Yi
Qi, Xiaoying
Yeung, Joanna
Xu, Wei
机构
[1] Toronto Gen Hosp, Univ Hlth Network, Dept Haematol Lab, Toronto, ON M5G 2C4, Canada
[2] Univ Maryland, Dept Pathol, Baltimore, MD 21201 USA
[3] Univ Hlth Network, Dept Biostat, Toronto, ON, Canada
关键词
multiple myeloma; 1p21; CDC14A; fluorescence in situ hybridization; prognosis;
D O I
10.1111/j.1365-2141.2007.06750.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The combination of fluorescence in situ hybridization with cytoplasmic light chain detection identified chromosome 1p21 deletion in 18 (20%) of 87 patients with multiple myeloma. 1p21 deletion was associated with higher serum calcium level, 13q deletion, and t(4;14). Patients with 1p21 deletions had a significantly shorter progression-free survival (PFS) (median 10.5 vs. 22.3 months, P = 0.0002) and shorter overall survival (OS) (median 33.9 months vs. not reached, P = 0.002) than those without 1p21 deletions. On multivariate analysis, which included deletions of 13q, TP53, t(4;14) and CKS1B amplification, 1p21 deletion remained as an independent risk factor for PFS (P = 0.01) and OS (P = 0.04).
引用
收藏
页码:51 / 54
页数:4
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