“…Recent data suggest that the acquisition of the hyperdiploid state is a stepwise process, which begins at the early stages of the disease development [ 61 , 79 , 478 ]. Plasma cells in most patients with MGUS carry numerical abnormalities of at least one of chromosomes (most often 6, 9, 13, 15, 17, 19), and up to ~50% are classified as hyperdiploid [ 57 , 478 , 480 , 481 ]. More chromosomes are gained as the disease progresses, and some patients acquire whole-genome duplications at the extreme end of the disease evolution [ 61 , 478 ].…”