Lab Guide
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Test ID: Hairy Cell Leukemia panel by FISH
Hairy Cell Leukemia panel by FISH
Hairy Cell Leukemia panel by FISH
Method name and description

Interphase Fluorescence In Situ Hybridization (I-FISH) study.

Clinical information

This test is used for identifying a neoplastic clone in patients with Hairy cell leukemia (HCL) and following the response to therapy. Recognizing patients with 11; 14 translocations who have a leukemic stage of HCL.

Identifying patients with a typical HCL/CLL or other forms of lymphoma related translocation between IGH/CCND1 and CEP12, TP53, deletion or other accomplice genes.

Specimen type / Specimen volume / Specimen container

1. Specimen Type: Blood/Leukemic Blood:

Container/Tube: Green top (sodium heparin)

Specimen Volume: 2-6 mL (Varies depending on the WBC-Count).

 (Adult - 3-6 mL ,Child - 2 mL, Infant - 2 mL)

2. Specimen Type: Bone marrow:

Container/Tube: Bone Marrow Transport Media

Specimen Volume: 1-3 mL (Varies depending on the WBC-Count).

Collection instructions / Special Precautions / Timing of collection

Sunday-Wednesday 7:00 -15:00

Storage and transport instructions

Ambient

Specimen Rejection Criteria

Consistent with Diagnostic Genomic Division policies.

Factors affecting test performance and result interpretation

Hairy Cell Leukemia (HCL) could be a low-grade B-cell lymphoproliferative disease that ordinarily presents with cytopenias, splenomegaly,  and diffuse bone marrow Infiltration.

There have been few cases of findings of HCL observed as lymphomas in extra-nodal locations, such as soft tissues and bones without circulating leukemic cells, splenomegaly, or iliac crest bone marrow involvement.

Turnaround time / Days and times test performed / Specimen retention time

TAT : 7 Days.