IGH gene (encoding the immunoglobulin heavy chain) rearrangement has been proved to be an early event in the MM ladder molecular pathogenesis, usually occurring at the 14q32 region. The breakpoints are mainly in the D and J regions, occurring in about 50% to 60% of MM patients. Partner chromosomes of the IGH gene translocation mainly include 11q13 (BCL1/CCND1), 4p16.3 (FGFR3), 16q23 (MAF), 20q11 (MAFB) and 6p21 (CCND3).