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.

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