T-Cell Clonality Screening by PCR
Ordering Recommendation
Aid in the diagnosis of T-cell lymphoproliferative disorders.
Methodology
Capillary Electrophoresis/Polymerase Chain Reaction (PCR)
Performed
Varies
Reported
5-9 days
New York DOH Approval Status
Specimen Required
Lavender (EDTA) whole blood or bone marrow; tissue; formalin-fixed tissue.
Whole Blood: Do not freeze. Transport 5 mL. (Min: 1 mL)
Bone Marrow: Do not freeze. Transport 3 mL. (Min: 1 mL)
Fresh Tissue: Freeze immediately. Transport 100 mg or 0.5-2.0 cm3 tissue
FFPE Tumor Tissue: Formalin fix (10 percent neutral buffered formalin) and paraffin embed tissue. Protect from excessive heat. Tissue block will be returned after testing. Transport tissue block or four 10-micron shavings in a tissue transport kit (ARUP Supply #47808) available online through eSupply using ARUP Connect or contact ARUP Client Services at 800-522-2787.
Whole Blood, Bone Marrow: Refrigerated.
Fresh Tissue: Frozen on dry ice.
FFPE Tumor Tissue: Room temperature. Also acceptable: Refrigerated. Ship in cooled container during summer months.
Whole Blood, Bone Marrow: Plasma, serum. Specimens collected in anticoagulants other than EDTA or sodium heparin. Clotted or grossly hemolyzed specimens.
Tissue: Specimens fixed/processed in alternative fixatives, heavy metal fixatives (B-4 or B-5), or tissue sections on slides. Decalcified specimens.
If multiple specimens (blocks or slides) are sent to ARUP, they must be accompanied by one of the following: an order comment indicating that the ARUP pathologist should choose the specimen most appropriate for testing (e.g., "Choose best block"), or individual orders for each sample submitted. A Pathologist Block Selection Fee (ARUP test code 3002076) will be added to orders that utilize the first option. If multiple specimens are sent to ARUP without a request for pathologist block/slide selection or individual orders, they will be held until clarification is provided.
Whole Blood or Bone Marrow: Ambient: 24 hours; Refrigerated: 5 days; Frozen: Unacceptable
Fresh Tissue: Ambient: Unacceptable; Refrigerated: 2 hours; Frozen: 1 year
FFPE Tumor Tissue: Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable
Reference Interval
Interpretive Data
Refer to report.
Laboratory Developed Test (LDT)
Note
Hotline History
Hotline History
CPT Codes
81342
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
0055567 | T-Cell Clonality by PCR | 21753-9 |
2006285 | T-Cell Clonality Source | 66746-9 |
Aliases
- T Cell Gamma
- T Cell Gene Rearrangement
- T-cell receptor gamma rearrangement
- T-Cell Receptor Gene Rearrangement
- TCRG