FISH analysis - 5/5q- (EGR1) 5q31 or chromosome 5 aneuploidy
Definition
Isolated deletion spanning the 5q31-33 region defines a distinct MDS subtype known as "5q- syndrome", characterized by haploinsufficiency of the relevant genes. It presents with macrocytic anemia, a low blast percentage and hypolobulated megakaryocytes; lenalidomide treatment can achieve transfusion independence.
Method
FISH analysis
Accepted sample types
Bone marrow, Blood (heparin)
Description
Diagnosis and monitoring of AML and MDS.
Inheritance
Somatic; an acquired clonal deletion in bone marrow stem cells, not hereditary.