High-Grade B-Cell Lymphoma, FISH

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Test Includes

This test includes fluorescence in situ hybridization (FISH) for high-grade B-cell lymphoma, targeting rearrangement of BCL2, BCL6 and MYC.


Special Instructions

Indicate the pertinent clinical diagnosis and previous cytogenetic studies on the test request form. Note: This test number is used for tracking FISH specimens to the laboratory.


Expected Turnaround Time

3 - 5 days



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Specimen Requirements


Specimen

Blood, bone marrow, slides, paraffin block, lymph node or touch preps


Volume

7 mL blood (adult), 1-3 mL bone marrow, five slides from cytogenetic analysis or seven slides from paraffin block, one tube fixed pellet, 4 touch prep slides


Minimum Volume

1 mL blood, 1 mL bone marrow, and four- to five-micron FFPE slides, 5 touch prep slides


Container

Green-top (sodium heparin) tube; pediatric Vacutainer® is optimal or lavender-top (EDTA) tube


Storage Instructions

Maintain specimens at room temperature.


Causes for Rejection

Broken Vacutainer®; broken slides


Test Details


Use

This test is a diagnostic test for non-Hodgkin's lymphoma (NHL) that detects primary genetic changes associated with various types of NHL, including high-grade B-cell lymphoma, follicular lymphoma (FL), Burkitt lymphoma (BL), diffuse large B-cell lymphoma (DLBCL) and those with BCL6 rearrangement.


Limitations

Molecular mutations below the resolution of FISH will not be detected.


Methodology

Fluorescence in situ hybridization (FISH)


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