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Patient outcome results were blinded at the time of FISH analysis. Results for the MYC gene region were classified as normal or positive for rearrangement while probe signals for chromosome regions 13q14.3, 13q34 and 7 CEP were scored for variation from the normal diploid count (two signals) and reported independently. In accordance with an institutional FISH database utilizing a minimum of 1500 normal paraffin-embedded control tissues, normal cut-off http://www.selleck.cn/products/CP-690550.html values at 95% confidence intervals (CIs) were applied (��6 nuclei with split MYC signals, ��30 with 0�C1 or ��12 nuclei with three or more CEP 7 signals, ��30 with 0�C1 or ��10 with three or more 13q14.3 or 13q34 signals). Due to the sectioning of cells in paraffin-embedded tissues, truncation of probe signals occurred; thus a higher cut-off value was necessary to confidently access signal loss. The Kaplan�CMeier method (Kaplan & Meier, 1958) was used to estimate http://www.selleckchem.com/products/ABT-263.html the distributions of OS and EFS. The cumulative incidence estimator was used to estimate the rates of relapse and lymphoma-specific mortality. OS times were calculated as the time from patient registration on protocol to the date of death or last follow-up contact. Patients who were alive at last contact were treated as censored for OS analysis. EFS was defined as the time from registration to either the date of disease progression or relapse, death, or last follow-up contact. Patients who were alive at last contact and who had not progressed were treated as censored for EFS analysis. Differences between survival curves were analysed by the log-rank test. The Cox proportional hazards regression model was used to estimate hazard ratios (HR) and 95%CI of risk factors in univariate and multivariate analysis. All statistical tests were 2-sided and P-values http://www.selleckchem.com/products/abt-199.html MYC negative cases were re-examined by an experienced haematopathologist with confirmation of the presence of adequate tumour tissue for FISH analysis, therefore, the MYC negative cases were included in the statistical analysis for survival. Gain of MYC (3�C4?copies) and CEP 7 (centromere 7) was observed in one of six cases negative for rearrangement, while two cases contained abnormalities of chromosome 13. Three cases exhibited normal results for all FISH probes analysed. Deletions of 13q were present in 42% of the cases studied (Table?III).
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