Understanding Lab Tests for Chronic Myeloproliferative Neoplasms

Written by Private MD Labs Medical Writing Team • Last Updated: September 8, 2025

Chronic myeloproliferative neoplasms (MPNs) are a group of slow-growing blood cancers that cause the bone marrow to produce too many blood cells. These disorders include polycythemia vera, essential thrombocythemia, and primary myelofibrosis. Accurate diagnosis requires specialized genetic testing to identify specific mutations that drive these conditions.

Recommended Test

JAK2 V617F Mutation Analysis

This genetic test specifically detects the JAK2 V617F mutation, which is strongly associated with chronic myeloproliferative neoplasms. The mutation causes overactive cell signaling pathways, leading to abnormal cell growth and proliferation characteristic of these blood cancers. A positive result helps confirm the diagnosis and guide appropriate treatment strategies.

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The Role of Genetic Testing in MPN Diagnosis

Many chronic myeloproliferative neoplasms are associated with specific genetic mutations that cause abnormal cell signaling and uncontrolled blood cell production. The JAK2 V617F mutation is found in approximately 95% of patients with polycythemia vera and about 50-60% of patients with essential thrombocythemia and primary myelofibrosis, making it a crucial diagnostic marker.

Understanding Your Results

A positive JAK2 V617F mutation test result, combined with clinical symptoms and blood count abnormalities, strongly supports a diagnosis of a myeloproliferative neoplasm. However, a negative result does not rule out these conditions, as other genetic mutations may be involved. Your healthcare provider will interpret results in the context of your complete clinical picture.

Important Considerations

The information here is for educational purposes only and is not a substitute for professional medical advice. Always consult with a healthcare provider for diagnosis and treatment.

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