FISH analysis - t(8;14) (IGH/MYC) 8q24 and 14q32 translocation and fusion

Definition

This translocation relocates the c-MYC oncogene at 8q24 next to the IgH locus at 14q32, leading to overexpression of c-MYC. It is the primary diagnostic hallmark seen in 90 to 95% of Burkitt lymphoma/leukemia cases (IGK/MYC or IGL/MYC variants are also seen less commonly). Its diagnostic significance is important because treatment strategies differ; however, it is not entirely specific to Burkitt, and can also be detected in 2 to 5% of DLBCL cases.

Method

FISH analysis

Accepted sample types

Peripheral blood, bone marrow (heparin), lymphoid tissue

Description

Diagnosis and monitoring of ALL and NHL.

Inheritance

Somatic; an error arising during B-cell development.

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