Multiple myeloma other diagnostic studies

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

A biopsy and genetic testing can be performed to confirm multiple myeloma diagnosis.

Bone Marrow Biopsy

• A bone marrow aspiration and biopsy is a procedure in which a small amount of bone marrow and bone is removed for microscopic examination.
• It may be done in a clinic or hospital on an outpatient or in-patient basis.
• It is usually performed to estimate the percentage of bone marrow occupied by plasma cells.
• Examination of abnormal plasma in the bone marrow is the only way to confirm a diagnosis.
• The percentage of plasma cells is also used in the diagnostic criteria of multiple myeloma.

Cytogenetic tests

• Detects any chromosomal mutations occurring in multiple myeloma such as chromosome 13 deletion or chromosome 14 translocation.>

Karyotyping>

A sample of blood or liquid bone marrow (from a bone marrow aspiration) is examined under the microscope to look for changes in the chromosomes. Karyotyping can find large chromosomal changes like a missing chromosome.

Fluorescent in situ hybridization (FISH)>

FISH is a specific molecular genetic method used to identify chromosomal abnormalities and other genetic changes in cells using special DNA probes labelled with fluorescent dyes. FISH can find small chromosomal changes like a rearranged chromosome.

References

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