In general, binucleation has negative effects on cell viability and subsequent mitosis.
Binucleation occurs at a much higher rate in cancer cells.
[1] Other identifying features of cancer cells include multipolar spindles, micronuclei, and chromatin bridge.
However, the increased rate of binucleation is usually not high enough to make it a conclusive diagnostic tool.
[1] Cells that contain many mutations before they become binucleate are much more likely to proceed through subsequent rounds of mitosis.