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@inproceedings{727211,
author = {Grešliková, Henrieta and Kuglík, Petr and Filková, Hana and Oltová, Alexandra and Adam, Zdeněk and Křivanová, Andrea and Pour, Luděk and Smejkalová, Jana and Krejčí, Marta and Hájek, Roman},
address = {Edinburgh},
booktitle = {Blood reviews},
edition = {Volume 21, Supplement 1},
keywords = {multiple myeloma; cIg FISH; chromosomal changes;autologous stem cell transplantation},
language = {eng},
location = {Edinburgh},
pages = {85-85},
publisher = {Churchill Livingstone},
title = {CORRELATION BETWEEN CHROMOSOMAL ABERRATIONS AND STANDARD PROGNOSTIC FACTORS IN PATIENTS WITH MULTIPLE MYELOMA UNDERGOING AUTOLOGOUS STEM CELL TRANSPLANTATION},
year = {2007}
}
TY - JOUR
ID - 727211
AU - Grešliková, Henrieta - Kuglík, Petr - Filková, Hana - Oltová, Alexandra - Adam, Zdeněk - Křivanová, Andrea - Pour, Luděk - Smejkalová, Jana - Krejčí, Marta - Hájek, Roman
PY - 2007
TI - CORRELATION BETWEEN CHROMOSOMAL ABERRATIONS AND STANDARD PROGNOSTIC FACTORS IN PATIENTS WITH MULTIPLE MYELOMA UNDERGOING AUTOLOGOUS STEM CELL TRANSPLANTATION
PB - Churchill Livingstone
CY - Edinburgh
KW - multiple myeloma
KW - cIg FISH
KW - chromosomal changes;autologous stem cell transplantation
N2 - Introduction Cytogenetic abnormalities in multiple myeloma (MM) are one of the most important independent prognostic factors. Based on cytogenetic findings MM patients (pts.) could be divided into prognostic groups. The aim of this study was to determine the correlation between the aberration of the chromosome 13, rearrangement of IGH gene, translocations t(11;14) and t(4;14), the deletion of 17p13 and the prognostic factors in the patients with newly diagnosed MM who underwent autologous transplantation (AT) according protocol of CMG 2002 trial. Materials and Methods Fluorescence in situ hybridization and cytoplasm immunoglobulin staining (cIg-FISH) were used to detect monotypic plasma cells and aberrations mentioned above. Cytogenetic abnormalities were found in 70 newly diagnosed patients with MM, median of follow-up 17,5 months, median age 57 years (39-67), DS stadium: stage I 7,1%, II 24,3%, III 68,6%; A/B - 84.3%/15.7%. Results Overall response (OR) rate after AT was 78,5% including 13% CR, 27% VGPR and 38,5% PR. Median of time to progression (TTP) was 17,5 (0,4-41,4) months. Median of overall survival (OS) was 22,9 (0,4-48,5) months. The aberration of the chromosome 13 was found in 53,5% (37/69), IGH rearrangements in 57% (37/66), t(11;14) in 16,6% (11/66), t(4;14) in 23% (15/66) and deletion of 17p13 in 17% (9/53) pts. We have correlated standard prognostic factors (MIG, LD, B2M, Hb, CRP, Ca, albumin), TTP, progression free survival (PFS), duration of response (DOR) and OS with the occurrence of the mentioned aberrations. Higher CRP, lower albumin and lower Ca concentrations were detected in patients with aberration of chromosome 13. We have observed trend for shorter TTP in patients with deletion of 17p13 and then in pts without this deletion (18,5 vs.21,9 months; p=0,287). As for this aberration we have found no significant difference when compared incidence of each chromosomal aberration for TTP, DOR, PFS and OS. Conclusion We have analysed data of the homogenous group of patients undergoing autologous transplantation in the CMG trial of Czech Myeloma Group. Based on the results we conclude that patients with deletion of 13q14 have higher CRP, lower albumin and lower Ca concentration.
ER -
GREŠLIKOVÁ, Henrieta, Petr KUGLÍK, Hana FILKOVÁ, Alexandra OLTOVÁ, Zdeněk ADAM, Andrea KŘIVANOVÁ, Luděk POUR, Jana SMEJKALOVÁ, Marta KREJČÍ a Roman HÁJEK. CORRELATION BETWEEN CHROMOSOMAL ABERRATIONS AND STANDARD PROGNOSTIC FACTORS IN PATIENTS WITH MULTIPLE MYELOMA UNDERGOING AUTOLOGOUS STEM CELL TRANSPLANTATION. In \textit{Blood reviews}. Volume 21, Supplement 1. Edinburgh: Churchill Livingstone, 2007, s.~85-85. ISSN~0268-960X.
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