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.

Related Tests