Lab Guide
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Test ID: BCR/ABL(DF) t(9;22)(q34;q11.2) by FISH
BCR/ABL(DF) t(9;22)(q34;q11.2) by FISH
BCR/ABL(DF) t(9;22)(q34;q11.2) by FISH
Method name and description

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

Clinical information

BCR/ABL(DF) t(9;22)(q34;q11.2) by FISH is used for identifying a neoplastic clone correlated with a BCR/ABL1 rearrangement, in patients with Chronic Myeloid Leukemia (CML) and MPN. Following the percentage of nuclei with BCR/ABL1 rearrangement and response to therapy in patients with MPN/ CML.

Specimen type / Specimen volume / Specimen container

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)

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 -14:00

Storage and transport instructions

Ambient.

Specimen Rejection Criteria

Consistent with Diagnostic Genomic Division policies.

Factors affecting test performance and result interpretation

Fusion of BCR/ABL1 is observed in all patients with Chronic Myeloid Leukemia (CML), in roughly 25% of adult patients with precursor B-cell acute lymphoblastic leukemia (B-ALL) and in 1% of patients with pediatric B- ALL.

The chromosome component resulting in BCR/ABL1 fusion is a t(9;22)(q34;q11.2) in approximately 85%, a complex 9;22 translocations with 1 or more additional chromosomes in roughly 15% and a chromosomally "cryptic" or insertional translocation in less than 1% of patients.

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

TAT - 7 Days.