Collect

Heme samples : one 5 mL blood in EDTA (lav top), or one 3 mL bone marrow in EDTA (min 0.5mL or >100K nucleated cells)
Fresh tissue: min 0.1mL
Frozen tissue: min 100mg or 0.5cc / 0.5 cm3
Body Fluids: >200K cells

Storage/Transport Temperature

20-25°C for several hours acceptable
Fresh tissue should be sent in saline soaked gauze, a tube with saline, or tissue culture medium. 
Frozen samples should be sent on dry ice.

Stability (from collection to initiation)

Ambient: several hours; Refrigerated: 5 days

Test Barcode Number

32206

Lab Section

Molecular Diagnostics

Methodology

Polymerase Chain Reaction/Restriction enzyme digestion/electrophoresis

Performed

2x week

Reported

within 6 working days

Performing Laboratory Website (click below)

Reference Interval

By report

Interpretive Data

A positive result indicates the presence of FLT3 internal tandem duplication (ITD) or a tyrosine kinase domain (TKD) point mutation in codons 835 or 836. The limit of detection for this assay is 1 in 20 cells. Results of this test must always be interpreted in the context of clinicopathologic and relevant data, and should not be used alone for a diagnosis of malignancy. Methodology: Patient DNA is isolated, purified and subjected to PCR amplification using specific oligonucleotide primers directed at exons 14, 15, and 20 of the FLT3 gene. Each assay includes a positive control reaction using DNA from a specimen or cell line known to contain a FLT3-ITD mutation or exon 20 point mutation and a negative control reaction using DNA from a specimen or cell line containing the wild-type FLT3 sequence. Amplicons for exon 20 are digested with EcoR V. PCR products are separated by electrophoresis. The limit of detection for this assay is 4% ITD, 5% TKD.

CPT Codes

ITD: 81245

CODON: 81246

LOINC Mapping

Blood and Tissue: 92843-2(835) & 79210-1(ITD)
Bone Marrow: 85100-6

Order Type (Individual or Group)

G

Group Test Information

Result Test ID Reportable Result Test Name Result Type Type (Alpha or Numeric)
TYPM3 Y SPECIMEN TYPE, FLT3 I A
ITD Y ITD I A
CODON Y CODON 835/836  I A
INTFT Y INTERPRETATION, FLT3 I A
REVFT Y REVIEWED BY: I A
RRFLT Y FLT3 REVIEW I A

CPT Codes

ITD: 81245

CODON: 81246

LOINC Mapping

Blood and Tissue: 92843-2(835) & 79210-1(ITD)
Bone Marrow: 85100-6

Pricing

Refer to Lab Account Manager. email: labservicesoutreach@urmc.rochester.edu
Specimen Requirements

Collect

Heme samples : one 5 mL blood in EDTA (lav top), or one 3 mL bone marrow in EDTA (min 0.5mL or >100K nucleated cells)
Fresh tissue: min 0.1mL
Frozen tissue: min 100mg or 0.5cc / 0.5 cm3
Body Fluids: >200K cells

Storage/Transport Temperature

20-25°C for several hours acceptable
Fresh tissue should be sent in saline soaked gauze, a tube with saline, or tissue culture medium. 
Frozen samples should be sent on dry ice.

Stability (from collection to initiation)

Ambient: several hours; Refrigerated: 5 days

Test Barcode Number

32206

Testing

Lab Section

Molecular Diagnostics

Methodology

Polymerase Chain Reaction/Restriction enzyme digestion/electrophoresis

Performed

2x week

Reported

within 6 working days

Performing Laboratory Website (click below)

Result Interpretation

Reference Interval

By report

Interpretive Data

A positive result indicates the presence of FLT3 internal tandem duplication (ITD) or a tyrosine kinase domain (TKD) point mutation in codons 835 or 836. The limit of detection for this assay is 1 in 20 cells. Results of this test must always be interpreted in the context of clinicopathologic and relevant data, and should not be used alone for a diagnosis of malignancy. Methodology: Patient DNA is isolated, purified and subjected to PCR amplification using specific oligonucleotide primers directed at exons 14, 15, and 20 of the FLT3 gene. Each assay includes a positive control reaction using DNA from a specimen or cell line known to contain a FLT3-ITD mutation or exon 20 point mutation and a negative control reaction using DNA from a specimen or cell line containing the wild-type FLT3 sequence. Amplicons for exon 20 are digested with EcoR V. PCR products are separated by electrophoresis. The limit of detection for this assay is 4% ITD, 5% TKD.

Coding

CPT Codes

ITD: 81245

CODON: 81246

LOINC Mapping

Blood and Tissue: 92843-2(835) & 79210-1(ITD)
Bone Marrow: 85100-6
URM Labs Internal
Test Build

Order Type (Individual or Group)

G

Group Test Information

Result Test ID Reportable Result Test Name Result Type Type (Alpha or Numeric)
TYPM3 Y SPECIMEN TYPE, FLT3 I A
ITD Y ITD I A
CODON Y CODON 835/836  I A
INTFT Y INTERPRETATION, FLT3 I A
REVFT Y REVIEWED BY: I A
RRFLT Y FLT3 REVIEW I A

CPT Codes

ITD: 81245

CODON: 81246

LOINC Mapping

Blood and Tissue: 92843-2(835) & 79210-1(ITD)
Bone Marrow: 85100-6

Pricing

Refer to Lab Account Manager. email: labservicesoutreach@urmc.rochester.edu