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伴有6号染色体长臂缺失的多发性骨髓瘤患者的临床特征

[Clinical characteristics of patients with multiple myeloma harboring 6q deletion].

作者信息

Chen L, Sun C Y, An B W, Yu J M, Zhao F, Zhang C, Hu Y

机构信息

Institute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.

Department of Hematology, Xinyang Central Hospital, Xinyang 464000, China.

出版信息

Zhonghua Xue Ye Xue Za Zhi. 2021 Aug 14;42(8):642-645. doi: 10.3760/cma.j.issn.0253-2727.2021.08.005.

Abstract

To study the clinical and cytogenetic characteristics of patients with multiple myeloma harboring 6q deletion, with the aim to determine the impact of 6q deletion on survival. This study included the retrospective analysis of 382 newly diagnosed patients with multiple myeloma in our hospital from 2014 to 2017 and compared the clinical and cytogenetic characteristics between patients with and without 6q deletion. The log-rank test and the Cox proportional hazards regression model were used to analyze prognostic factors for progression-free survival (PFS) and overall survival (OS) . Compared to those without 6q, the patients with 6q deletion were older (median age, 63 58 years, =0.039) , had higher incidence of t (4; 14) (30.4% 16.4% , =0.020) , and higher proportion of complex karyotypes (22.2% 5.3% , =0.001) . Univariate survival analysis using the log-rank test revealed that 6q deletion was associated with shorter PFS. However, by the Cox multivariate proportional hazards regression model, 6q deletion was not an independent prognostic factor and its effect on survival was affected by age, t (4; 14) , and other risk factors. 6q deletion was common in elderly patients with multiple myeloma and was often accompanied by t (4;14) and complex karyotypes. However, 6q deletion was not an independent prognostic factor for multiple myeloma.

摘要

研究伴有6号染色体长臂缺失的多发性骨髓瘤患者的临床和细胞遗传学特征,旨在确定6号染色体长臂缺失对生存的影响。本研究对我院2014年至2017年382例新诊断的多发性骨髓瘤患者进行回顾性分析,比较有和无6号染色体长臂缺失患者的临床和细胞遗传学特征。采用对数秩检验和Cox比例风险回归模型分析无进展生存期(PFS)和总生存期(OS)的预后因素。与无6号染色体长臂缺失者相比,伴有6号染色体长臂缺失的患者年龄更大(中位年龄63岁对58岁,P = 0.039),t(4;14)发生率更高(30.4%对16.4%,P = 0.020),复杂核型比例更高(22.2%对5.3%,P = 0.001)。采用对数秩检验的单因素生存分析显示,6号染色体长臂缺失与较短的PFS相关。然而,通过Cox多因素比例风险回归模型,6号染色体长臂缺失不是一个独立的预后因素,其对生存的影响受年龄、t(4;14)和其他危险因素影响。6号染色体长臂缺失在老年多发性骨髓瘤患者中常见,且常伴有t(4;14)和复杂核型。然而,6号染色体长臂缺失不是多发性骨髓瘤的独立预后因素。

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本文引用的文献

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Deletion 6q Drives T-cell Leukemia Progression by Ribosome Modulation.6q 缺失通过核糖体调节驱动 T 细胞白血病进展。
Cancer Discov. 2018 Dec;8(12):1614-1631. doi: 10.1158/2159-8290.CD-17-0831. Epub 2018 Sep 28.

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