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Referral centre variation in requesting JAK2 V617F mutation analysis for the investigation of a myeloproliferative neoplasm
  1. Stephen E Langabeer
  1. Cancer Molecular Diagnostics, Central Pathology Laboratory, St James's Hospital, Dublin, Republic of Ireland
  1. Correspondence to Dr Stephen E Langabeer, Cancer Molecular Diagnostics, Central Pathology Laboratory, St James's Hospital, Dublin 8, Republic of Ireland; slangabeer{at}

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The discovery of the JAK2 V617F mutation has undoubtedly revolutionised the diagnosis of the classical Philadelphia chromosome-negative myeloproliferative neoplasms (MPNs) with the mutation present in greater than 95% of polycythaemia vera (PV) patients, approximately 50% of patients with essential thrombocythaemia (ET) and primary myelofibrosis (PMF) and, to a lesser degree, in a number of other myeloid malignancies such as refractory anaemia with ringed sideroblasts with thrombocytosis, chronic myelomonocytic leukaemia and acute myeloid leukaemia. Detection of this mutation is  beneficial in differentiating between a reactive haematological response and a true clonal disorder and can also serve as a target for therapeutic intervention.1 Current guidelines for the diagnosis of PV, ET and PMF maintain the requirement for inclusion and/or exclusion of numerous other clinical and laboratory parameters such as histopathological examination of a bone marrow biopsy.2–4 Molecular testing for the presence of the JAK2 V617F mutation is now not only used for …

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  • Contributors This manuscript is the sole work of the author.

  • Competing interests None declared.

  • Ethics approval Review from central laboratory testing. Ethics committee approval required from referral centres.

  • Provenance and peer review Not commissioned; externally peer reviewed.