Collect

Non-diluted bone marrow aspirate collected in a heparinized syringe. Also acceptable: Green (sodium heparin).

Specimen Preparation

Transfer 3 mL bone marrow to a green (sodium heparin) (Min: 1 mL). OR transport 5 mL whole blood (Min: 2 mL)

Unacceptable Conditions

Paraffin-embedded specimens. Clotted specimens.

Storage/Transport Temperature

Room temperature.

Stability (from collection to initiation)

Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable

Remarks

Desired FISH probe and pertinent clinical diagnosis required with test order. Testing will not be performed until probe and diagnosis are provided; absence of this information will delay turnaround time.

Referral Lab

Ordering Recommendations

Use to order individual or multiple oncology FISH probes if standard FISH panels are not desired.

Mnemonic

CHR FISHI

Epic Test Code

LAB002034

Synonyms

  • +10
  • +12
  • +15
  • +17
  • +4
  • +8
  • +9
  • 11q23
  • 12q31
  • 13q13
  • 14q32
  • 18q11.2
  • 18q21
  • 19p13
  • 1q21
  • 20q Deletion (D20S108)
  • 21q22
  • 22q12.2
  • 3q27
  • 4q12
  • 5q Deletion (EGR1)/Monosomy 5
  • 5q32
  • 5q33.1
  • 7q Deletion(D7S486)/Monosomy 7
  • 8p12
  • 8q24
  • 9p21
  • ABL1 Rearrangement
  • ABL2 Rearrangement
  • ATM Deletion
  • BCL6 Rearrangement
  • BCR-ABL1
  • C-Myc (MYC) Rearrangement
  • Cancer FISH
  • CBFB Rearrangement
  • CKS1B
  • CRLF2 Rearrangement
  • CSF1R Rearrangement
  • D13S319 Deletion
  • DDIT3 (CHOP)
  • del(11)(q22.3)
  • del(13)(q14.3)
  • del(17)(p13.1) (TP53) Deletion
  • del(20)(q12)
  • del(5)(q31)/-5
  • del(7)(q31)/-7
  • EGR1
  • EPOR Rearrangement
  • ETV6 Rearrangement
  • ETV6-RUNX1 (TEL-AML1 ) Fusion
  • EWSR1 Rearrangement
  • FGFR1 Rearrangement
  • FGFR1, 8p11-12
  • FKHR (FOXO1)
  • Hyperdiploidy with Trisomy 4, 10, and 17
  • IGH Rearrangement
  • IGH-BCL2 Fusion
  • IGH-CCND1 Fusion
  • IGH-FGFR3 Fusion
  • IGH-MAF Fusion
  • IGH-MAFB Fusion
  • IKZF1 (Ikaros) Deletion
  • inv(16)
  • inv(16)(p13.3q22)
  • inv(3)
  • JAK2 Rearrangement
  • KMT2A (MLL) Rearrangement
  • MALT1
  • oncology FISH
  • p16 (CDKN2) Deletion
  • PDGFR-alpha Rearrangement
  • PDGFR-beta Rearrangement
  • PDGFRA Rearrangement
  • PDGFRA-CHIC2-FIP1L1
  • PDGFRB Rearrangement
  • PDGFRB, 5q33.1
  • Philadelphia chromosome
  • PML-RARA Fusion
  • RPN1/MECOM (EVI1)
  • RUNX1 Rearrangement
  • RUNX1T1-RUNX1 (ETO-AML1) Fusion
  • SS18 (SYT) Rearrangement
  • t(11;14)(q13;q32)
  • t(12;21)(p13;q22)
  • t(14;16)(q32;q23.1)
  • t(14;18)(q32;q21)
  • t(14;20)(q32;q12)
  • t(15;17)(q24;q21)
  • t(3:3)
  • t(4;14)(p16;q32)
  • t(8;21)(q22;q22)
  • t(9;22)(q34;q11.2)
  • TCF3 (E2A) Rearrangement
  • TCL1 Rearrangement
  • TP53 (p53) Deletion
  • Trisomy 10
  • Trisomy 12
  • Trisomy 15
  • Trisomy 17
  • Trisomy 4
  • Trisomy 8
  • Trisomy 9
  • X and Y centromere (CEP X/Y)
  • NUP98 Rearrangement
  • CBFB-MYH11 Fusion, t(16;16)(p13.1;q22)

Methodology

Fluorescence in situ Hybridization (FISH)

Performed

Sun-Sat

Reported

3-10 days

CPT Codes

88271; 88275

Notes

Time required for testing can vary depending on specimen type and probes ordered.

Please indicate the names of probes needed for testing. Molecular Cytogenetics (FISH) Probe menu is available at https://www.aruplab.com/genetics/tests/fish-oncology
Contact ARUP Genetics Processing at extension 3301 to add a probe to a current specimen.

Other specimen types may be acceptable, contact the Cytogenetics Laboratory for specific specimen collection and transportation instructions.

If cell pellets or dropped cytogenetic slides are submitted, processing fee will not apply.

This test must be ordered using Oncology test request form #43099 or through your ARUP interface.

Additional Technical Information

  • Time Sensitive
  • Oncology Test Request Form Recommended (ARUP form #43099)

Reference Interval

By report

LOINC

  • 57802-1
  • 11526-1

Performing Lab

ARUP Laboratories
Collection

Collect

Non-diluted bone marrow aspirate collected in a heparinized syringe. Also acceptable: Green (sodium heparin).

Specimen Preparation

Transfer 3 mL bone marrow to a green (sodium heparin) (Min: 1 mL). OR transport 5 mL whole blood (Min: 2 mL)

Unacceptable Conditions

Paraffin-embedded specimens. Clotted specimens.

Storage/Transport Temperature

Room temperature.

Stability (from collection to initiation)

Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable

Remarks

Desired FISH probe and pertinent clinical diagnosis required with test order. Testing will not be performed until probe and diagnosis are provided; absence of this information will delay turnaround time.

Referral Lab

Ordering

Ordering Recommendations

Use to order individual or multiple oncology FISH probes if standard FISH panels are not desired.

Mnemonic

CHR FISHI

Epic Test Code

LAB002034

Synonyms

  • +10
  • +12
  • +15
  • +17
  • +4
  • +8
  • +9
  • 11q23
  • 12q31
  • 13q13
  • 14q32
  • 18q11.2
  • 18q21
  • 19p13
  • 1q21
  • 20q Deletion (D20S108)
  • 21q22
  • 22q12.2
  • 3q27
  • 4q12
  • 5q Deletion (EGR1)/Monosomy 5
  • 5q32
  • 5q33.1
  • 7q Deletion(D7S486)/Monosomy 7
  • 8p12
  • 8q24
  • 9p21
  • ABL1 Rearrangement
  • ABL2 Rearrangement
  • ATM Deletion
  • BCL6 Rearrangement
  • BCR-ABL1
  • C-Myc (MYC) Rearrangement
  • Cancer FISH
  • CBFB Rearrangement
  • CKS1B
  • CRLF2 Rearrangement
  • CSF1R Rearrangement
  • D13S319 Deletion
  • DDIT3 (CHOP)
  • del(11)(q22.3)
  • del(13)(q14.3)
  • del(17)(p13.1) (TP53) Deletion
  • del(20)(q12)
  • del(5)(q31)/-5
  • del(7)(q31)/-7
  • EGR1
  • EPOR Rearrangement
  • ETV6 Rearrangement
  • ETV6-RUNX1 (TEL-AML1 ) Fusion
  • EWSR1 Rearrangement
  • FGFR1 Rearrangement
  • FGFR1, 8p11-12
  • FKHR (FOXO1)
  • Hyperdiploidy with Trisomy 4, 10, and 17
  • IGH Rearrangement
  • IGH-BCL2 Fusion
  • IGH-CCND1 Fusion
  • IGH-FGFR3 Fusion
  • IGH-MAF Fusion
  • IGH-MAFB Fusion
  • IKZF1 (Ikaros) Deletion
  • inv(16)
  • inv(16)(p13.3q22)
  • inv(3)
  • JAK2 Rearrangement
  • KMT2A (MLL) Rearrangement
  • MALT1
  • oncology FISH
  • p16 (CDKN2) Deletion
  • PDGFR-alpha Rearrangement
  • PDGFR-beta Rearrangement
  • PDGFRA Rearrangement
  • PDGFRA-CHIC2-FIP1L1
  • PDGFRB Rearrangement
  • PDGFRB, 5q33.1
  • Philadelphia chromosome
  • PML-RARA Fusion
  • RPN1/MECOM (EVI1)
  • RUNX1 Rearrangement
  • RUNX1T1-RUNX1 (ETO-AML1) Fusion
  • SS18 (SYT) Rearrangement
  • t(11;14)(q13;q32)
  • t(12;21)(p13;q22)
  • t(14;16)(q32;q23.1)
  • t(14;18)(q32;q21)
  • t(14;20)(q32;q12)
  • t(15;17)(q24;q21)
  • t(3:3)
  • t(4;14)(p16;q32)
  • t(8;21)(q22;q22)
  • t(9;22)(q34;q11.2)
  • TCF3 (E2A) Rearrangement
  • TCL1 Rearrangement
  • TP53 (p53) Deletion
  • Trisomy 10
  • Trisomy 12
  • Trisomy 15
  • Trisomy 17
  • Trisomy 4
  • Trisomy 8
  • Trisomy 9
  • X and Y centromere (CEP X/Y)
  • NUP98 Rearrangement
  • CBFB-MYH11 Fusion, t(16;16)(p13.1;q22)

Methodology

Fluorescence in situ Hybridization (FISH)

Performed

Sun-Sat

Reported

3-10 days

CPT Codes

88271; 88275

Notes

Time required for testing can vary depending on specimen type and probes ordered.

Please indicate the names of probes needed for testing. Molecular Cytogenetics (FISH) Probe menu is available at https://www.aruplab.com/genetics/tests/fish-oncology
Contact ARUP Genetics Processing at extension 3301 to add a probe to a current specimen.

Other specimen types may be acceptable, contact the Cytogenetics Laboratory for specific specimen collection and transportation instructions.

If cell pellets or dropped cytogenetic slides are submitted, processing fee will not apply.

This test must be ordered using Oncology test request form #43099 or through your ARUP interface.

Additional Technical Information

  • Time Sensitive
  • Oncology Test Request Form Recommended (ARUP form #43099)
Result Interpretation

Reference Interval

By report
Administrative

LOINC

  • 57802-1
  • 11526-1

Performing Lab

ARUP Laboratories

ARUP Consult®

Disease Topics