Table 3

Cytogenetically defined risk-based classification of SMM

RiskCytogenetic finding
High t(4;14) 
del(17p) 
1q gain 
Intermediate Trisomies without IgH translocation 
Standard Other IgH translocations including t(11;14), t(14;16), and t(14;20) 
Presence of trisomies and IgH translocation, except t(4;14) 
Monosomy13/del(13q) 
Low No abnormalities (normal or insufficient) 
RiskCytogenetic finding
High t(4;14) 
del(17p) 
1q gain 
Intermediate Trisomies without IgH translocation 
Standard Other IgH translocations including t(11;14), t(14;16), and t(14;20) 
Presence of trisomies and IgH translocation, except t(4;14) 
Monosomy13/del(13q) 
Low No abnormalities (normal or insufficient) 

IgH, immunoglobulin heavy chain.

Adapted from Rajkumar et al31  with permission.

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