ABSTRACT BACKGROUND: Multiple myeloma is a plasma cell neoplasm with acquired genetic abnormalities of clinical and prognostic importance. Multiple myeloma differs from other hematologic malignancies due to a high fraction of low proliferating malignant plasma cells and the paucity of plasma cells in bone marrow aspiration samples, making cytogenetic analysis a challenge. An abnormal karyotype is found in only one-third of patients with multiple myeloma and interphase fluorescence in situ hybridization is the most useful test for studying the chromosomal abnormalities present in almost 90% of cases. However, it is necessary to study the genetic abnormalities in plasma cells after their identification or selection by morphology, immunophenotyping or sorting. Other challenges are the selection of the most informative FISH panel and determining cut-off levels for FISH probes. This study reports the validation of interphase fluorescence in situ hybridization using CD138 positive cells, according to proposed guidelines published by the European Myeloma Network (EMN) in 2012. METHOD: Bone marrow samples from patients with multiple myeloma were used to standardize a panel of five probes [1q amplification, 13q14 deletion, 17p deletion, t(4;14), and t(14;16)] in CD138+ cells purified by magnetic cell sorting. RESULTS: This test was validated with a low turnaround time and good reproducibility. Five of six samples showed genetic abnormalities. Monosomy/deletion 13 plus t(4;14) were found in two cases. CONCLUSION: This technique together with magnetic cell sorting is effective and can be used in the routine laboratory practice. In addition, magnetic cell sorting provides a pure plasma cell population that allows other molecular and genomic studies.

A leucemia mielóide aguda (LMA) com diferenciação e t(8;21) ou LMA M2 com t(8;21), pela classificação FAB, tem sido descrita entre 6% e 12% dos casos nas grandes séries. Em nosso meio há poucas descrições com números expressivos de casos. O objetivo do presente trabalho foi avaliar qual a freqüência de t(8;21) dentre 190 casos de LMA, ao diagnóstico. Foram observados 13 (6,8%) casos com t(8;21)(q22;q22), a idade mediana foi de 30 anos (variando de 3 a 64 anos), sendo que seis (46,2%) pacientes tinham menos que 21 anos e relação M:F de 0,8:1 (seis homens e sete mulheres).

Acute myeloid leukemia with differentiation and t(8;21) or AML FAB M2 with t(8;21) has been described in from 6% to 12% of the cases in large series. There are very few descriptions with a small number of cases in Brazil. The objective of the present paper is to evaluate the frequency of t(8;21) among 190 cases of AML, at diagnosis. A total of 13 (6,8%) cases with t(8;21) (q22;q22) have been described, with a median age of 30 years (varying from 3 to 64), with six (46,2%) patients younger than 21 years old, and a male to female rate of 0.8:1 (six men to seven women).