FISH analysis - N-MYC (2p24.3) 2p24.3 amplification and chromosome 2 aneuploidy
Definition
The MYCN oncogene is located at 2p24.3 and is amplified in approximately 20 to 30% of neuroblastomas (up to 40% in high-risk tumors); it is usually seen together with other changes such as 1p deletion and 17q gain. It is considered the strongest prognostic genetic marker in neuroblastoma; the difference in 3-year survival between amplified and non-amplified patients is marked (e.g. 8.3% versus 43.8%).
Method
FISH analysis
Accepted sample types
Peripheral blood, bone marrow (heparin), fresh tumor tissue, FFPE
Description
Prognosis.
Inheritance
A somatic event specific to the tumor cells.