Rafael Fonseca, MD, Mayo Clinic, Phoenix, AZ, discusses the findings of an investigation into secondary cytogenetic abnormalities in multiple myeloma (MM) and comments on their prognostic value. Fluorescent In-Situ Hybridization (FISH)-based cytogenetic profiling was performed in samples from over 2000 patients, and an association was found between an increasing number of chromosome 1q copies and reduced overall survival (OS). Dr Fonseca emphasizes the need to differentiate between 1q ‘gain’ (3 copies) and ‘amplification’ (≥ 4 copies) when defining high-risk patients, as amplification led to a significantly poorer prognosis and decreased OS. This interview took place at the 65th ASH Annual Meeting and Exposition, held in San Diego, CA.
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