When and how to test for C - MYC in aggressive B cell lymphomas

Hoeller, Sylvia ; Tzankov, Alexandar ; Stenner, Frank ; Dirnhofer, Stephan

In: Journal of Hematopathology, 2015, vol. 8, no. 1, p. 13-20

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    Summary
    C-MYC (MYC) is a regulator gene that plays an important role in cell cycle progression, apoptosis, and cellular transformation. It is believed to regulate expression of up to 15% of all human genes. In recent years, C-MYC has been extensively studied in blastic B cell lymphomas, and currently C-MYC is regarded not only as a diagnostic tool, but also a promising prognostic biomarker. C-MYC testing is therefore no longer simply a confirmational analysis for Burkitt's lymphoma, but also provides important information on prognosis and risk stratification of diffuse large B cell lymphoma patients. This review outlines our approach to integrate this new role of C-MYC in a convenient way in routine diagnostics and discusses the application of different techniques such as immunohistochemistry and FISH for C-MYC testing.