Lab-Specific Test Indexes

Cytogenetics Laboratory

Cytogenetic Testing for Neoplastic Disorders

Chromosome Analyses for Neoplastic Disorders
top
FISH studies for Neoplastic Disorders
The following FISH tests/panels are also listed below by corresponding disorder.
top
Acute Lymphoblastic Leukemia (ALL) -  B-Cell
Panel, recommended for pediatric patients, includes testing for the following anomalies via the probes listed:
t(9;22), BCR/ABL
t(12;21), TEL/AML1
t(1;19), PBX1/TCF3
+4, +10, +17, Cen4/10/17
t(11q23;var), MLL
del (9p), P16/Cen9
Pediatric patients: Please indicate if you would like the entire panel.  This is suggested for pediatric patients with a new diagnosis.  If patient is being tracked for known anomalies, please indicate which anomalies need to be investigated.
Adult patients:  Only FISH for BCR/ABL and MLL are recommended in adult patients with B-Cell ALL.
top
Acute Lymphoblastic Leukemia (ALL) – T-Cell
Please indicate that the patient has pre-T cell ALL. 
ABL/CAN co-amplification, ABL/CAN/cen 9
del(9)(p21), p16/cen 9
t(11;var)(q23;var), MLL
top
Acute Myeloid Leukemia (AML)
Please indicate subtype as well as which anomalies need to be investigated, from the following profile:
t(8;21), [M2], ETO/AML1
t(15;17), [M3], PML/RARA
t(11q23;var), [M0-M7], MLL
inv(16), [M4, Eos], MYH11/CBFbeta
+8, [M0-M7], Cen8/c-MYC
t(6;9), [M2, M4], DEK/CAN
inv(3), [M1,2,4,6,7], RPN1/EVI1
top
Chronic Lymphocytic Leukemia (CLL)
  FISH panel is recommended in place of chromosome analysis for this disorder.  Panel includes testing for the following anomalies via the probes listed:
6q-, c-MYB/Cen6
11q-, ATM/Cen11
+12, D12Z3/MDM2
13q-, D13S319/LAMP1
17p-, p53/Cen17
t(11;14), CCND1/ IgH
reflex for IgH anomaly:
t(14;18), IgH /BCL2
t(14;19), IgH /BCL3  
top
Chronic Myeloid Leukemia (CML)
top
Chronic Myelomonocytic Leukemia  (CMML)
top
Hypereosinophilic Syndrome
top
Imatinib Mesylate Responsive Genes
Panel, recommended for pediatric patients, includes testing for the following anomalies via the probes listed:
1q25 anomalies, ARG
4q12 anomalies, PDGFRA
5q33 anomalies, PDGFRB
9q34 anomalies, ABL
top
Lymphoma
Includes a mini-pathology consult to evaluate appropriate FISH probes and translocations to investigate.  Panel includes testing for the following anomalies via the probes listed:
t(8;14), c-MYC/IGH
t(8q24.1;var), c-MYC
t(11;14), CCND1/IGH
t(11;18), API2/MALT1
t(14;18), IGH/MALT1
t(14;18), IGH/BCL2
t(3;var), BCL6
Includes a mini-pathology consult to evaluate appropriate FISH probes and translocations to investigate.  Panel includes testing for the following anomalies via the probes listed:
t(11;14), CCND1/ IGH
t(14;18), IGH /BCL2
t(8q24.1;var), c-MYC
t(8;14), c-MYC/ IGH
t(11;18) , API2/MALT1
reflex t(14;18), IGH /MALT1
Cen3/Cen7
Cen12/Cen18
t(3q27;var), BCL6
Includes a mini-pathology consult to evaluate appropriate FISH probes and translocations to investigate.  Panel includes testing for the following anomalies via the probes listed:
t(14;var)(q32.1;var), TCL1
-7/7q-/i(7q), D7S486/cen7
+8, cen8/c-MYC
Includes a mini-pathology consult to evaluate appropriate FISH probes and translocations to investigate.  Panel includes testing for the following anomalies via the probes listed:
t(14;var)(q32.1;var), TCL1
-7/7q-/i(7q), D7S486/cen7
+8, cen8/ c-MYC
t(2;var)(p23.2;var)/inv(2) ALK
ABL/CAN co-amplication ABL/CAN/cen9
del(9)(p21) p16/cen9
t(11;var)(q23;var) MLL
top
Myelodysplastic Syndrome (MDS)
Chromosome analysis is recommended as first tier testing for this disorder; FISH should be used if chromosomes are not successful.
Panel includes testing for the following anomalies via the probes listed:
-5/5q-,/EGR1/D5S630
-7/7q-, D7S486/Cen7
+8, Cen8/c-MYC
13q-, D13S319/ LAMP1
20q-, 20qter/D20S108
 inv(3), RPN1/EVI1
Please indicate if you would like us to run the entire panel.  This is suggested for patients with a new diagnosis.  If patient is being tracked for known anomalies, please indicate which anomalies need to be investigated.
top
Plasma Cell Proliferative Disorder (PCPD)
Testing for Multiple Myeloma, intended for diagnosis only.  Fresh bone marrow specimen is required.
Panel includes testing for the following anomalies via the probes listed:
-13/13q-, Rb1/LAMP1
t(11;14), CCND1/ IGH
t(14;var), IGH
17p-, p53/Cen17
+3/+7, Cen3/Cen7
+9/+15, Cen9/Cen15
t(4;14) IGH reflex, FGFR3/ IGH
t(14;16) IGH reflex, IGH /c-MAF
top
Solid tumors
top
Breast Adenocarcinoma
top
Inflammatory Myofibroblastic tumors
top
Neuroblastoma
top
Oligodendroglioma
top
Sarcoma
Requires paraffin embedded specimen.  Referred for RT-PCR first and then reflexed to FISH if warranted.
Requires paraffin embedded specimen.  Referred for RT-PCR first and then reflexed to FISH if warranted.
top