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Lymphoma (Aggressive) Panel by FISH
Ordering Recommendation
Aid in the diagnosis of aggressive large B-cell lymphoma with intermediate features between Burkitt lymphoma and diffuse large B-cell lymphoma (DLBCL) and confirmation of suspected double-hit lymphoma. Reflex testing is available; refer to Aggressive B-Cell Lymphoma Reflex Panel by FISH, Tissue (3001495).
New York DOH Approval Status
Specimen Required
Non-diluted bone marrow collected in a heparinized syringe. Also acceptable: Green (sodium heparin).
Transfer 3 mL bone marrow to a green (sodium heparin) (Min: 1 mL). OR transport 5 mL whole blood (Min: 2 mL)
Room temperature.
Frozen specimens. Paraffin-embedded specimens. Clotted specimens.
Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
Methodology
Fluorescence in situ Hybridization (FISH)
Performed
Sun-Sat
Reported
3-10 days
Reference Interval
By report
Interpretive Data
Probes included: IGH/BCL2, BCL6 and MYC
This panel is for the identification of double hit lymphoma and triple hit lymphoma, both of which show morphologic features intermediate between diffuse large B-Cell lymphoma and Burkitt Lymphoma. Both are aggressive lymphomas and are characterized by a poor survival rate.
This test was developed and its performance characteristics determined by ARUP Laboratories. It has not been cleared or approved by the US Food and Drug Administration. This test was performed in a CLIA certified laboratory and is intended for clinical purposes.
Analyte Specific Reagent (ASR)
Note
A processing fee will be charged if this procedure is canceled, at the client's request, after the test has been set up, or if the specimen integrity is inadequate to allow culture growth. The fee will vary based on specimen type. To order probes separately, refer to Chromosome FISH, Interphase (2002298).
Other specimen types may be acceptable, contact the Cytogenetics Laboratory for specific specimen collection and transportation instructions.
If cell pellets or dropped cytogenetics slides are submitted, a processing fee will not apply.
This test must be ordered using Oncology test request form #43099 or through your ARUP interface.
Hotline History
CPT Codes
88271 x3; 88275 x3
Components
| Component Test Code* | Component Chart Name | LOINC |
|---|---|---|
| 2002651 | Lymphoma (Aggressive) Panel by FISH | |
| 2002652 | EER Lymphoma (Aggressive) Panel by FISH |
