MYCN amplification
Pronunciation: MY-see-en
Genetic alteration involving multiple copies of the MYCN oncogene, associated with poor prognosis in neuroblastoma.
Full Definition
MYCN amplification refers to the presence of multiple copies (typically >10) of the MYCN oncogene in tumor cells, most commonly seen in neuroblastoma. This genetic alteration is a critical prognostic factor that places patients in high-risk categories regardless of other clinical features. MYCN amplification occurs in approximately 20% of neuroblastomas and is associated with rapid tumor progression, poor response to therapy, and decreased survival rates. Testing for MYCN status is mandatory in neuroblastoma workup.
Usage
Usage note: Always capitalize MYCN; do not use lowercase or hyphenated forms.
In Context
- "MYCN amplification was detected by FISH analysis, confirming high-risk disease." — molecular pathology report
- "Patients with MYCN amplification require intensive multimodal therapy." — treatment protocol