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Test ID HOLDF Hematologic Disorders, Fluorescence In Situ Hybridization (FISH) Hold, Varies

Useful For

Processing the bone marrow or peripheral blood specimen but delaying fluorescence in situ hybridization analysis while preliminary morphologic assessment is in process

Reflex Tests

Test ID Reporting Name Available Separately Always Performed
AMLAF Adult AML, FISH Yes No
AMLMF AML, Specified FISH Yes No
AMLPF Pediatric AML, FISH Yes No
BALAF Adult ALL (B-cell), FISH Yes No
BALMF ALL (B-cell), Specified FISH Yes No
BALPF Pediatric ALL (B-cell), FISH Yes No
BLPMF B-cell Lymphoma, Specified FISH Yes No
CLLDF CLL, Diagnostic FISH Yes No
CLLMF CLL, Specified FISH Yes No
COGBF COG, ALL (B-cell), FISH Yes No
COGMF COG, AML, FISH Yes No
COGTF COG, ALL (T-cell), FISH Yes No
EOSDF Chronic Eosinophilia, Diag FISH Yes No
EOSMF Chronic Eosinophilia, Spec FISH Yes No
HEMMF Hematologic Specified FISH Yes No
MDSDF MDS, Diagnostic FISH Yes No
MDSMF MDS, Specified FISH Yes No
MFCDF Myeloma Fixed Cell, High Risk, FISH Yes No
PHLDF Ph-like ALL(B-cell), Diag FISH Yes No
TALAF Adult ALL (T-cell), FISH Yes No
TALMF ALL (T-cell), Specified FISH Yes No
TALPF Pediatric ALL (T-cell), FISH Yes No
TLPDF T-cell Lymphoma B/BM, Diag FISH Yes No
TLPMF T-cell Lymphoma B/BM, Spec FISH Yes No

Testing Algorithm

This test is designed to hold the sample and delay fluorescence in situ hybridization (FISH) testing while preliminary morphologic assessment or flow cytometry testing is in process.

 

Hold policy: Upon sample receipt, the specimen will be held in the laboratory. FISH testing will not be performed unless the client contacts the laboratory and indicates that FISH testing is desired. The client must contact the Cytogenetics Laboratory at 800-533-1710 by 4 p.m. (Central time) no later than 4 business days (96 hours) after the specimen was collected. If no notification is received by this time, the order will be processed as "canceled." Weekend communication can be deferred until Monday.

Method Name

Direct Preparation of Specimen

Reporting Name

Heme FISH Hold, B/BM

Specimen Type

Varies


Ordering Guidance


This test is designed to hold blood and bone marrow specimens only.

 

This test does not apply to chromosome analysis. If specimen is to be held for chromosome analysis, order HOLDC / Hematologic Disorders, Chromosome Hold, Varies.

 

Due to stability issues, test PCPDS / Plasma Cell Proliferative Disorder, High-Risk with Reflex Probes, Diagnostic FISH Evaluation, Bone Marrow cannot be added onto specimens held under this test.



Shipping Instructions


Advise Express Mail or equivalent if not on courier service.



Necessary Information


Provide a reason for testing with each specimen and bone marrow pathology report (if available). The laboratory will not reject testing if this information is not provided, but appropriate testing and interpretation may be compromised or delayed.



Specimen Required


Submit only 1 of the following specimens:

 

Preferred:

Specimen Type: Bone marrow

Container/Tube:

Preferred: Yellow top (ACD)

Acceptable: Green top (sodium heparin), lavender top (EDTA)

Specimen Volume: 1 to 2 mL

Collection Instructions: Invert several times to mix bone marrow.

 

Acceptable:

Specimen Type: Blood

Container/Tube:

Preferred: Yellow top (ACD)

Acceptable: Green top (sodium heparin), lavender top (EDTA)

Specimen Volume: 6 mL

Collection Instructions: Invert several times to mix blood.


Specimen Minimum Volume

Blood: 2 mL
Bone marrow: 1 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Varies Ambient (preferred)
  Standard 

Reject Due To

No specimen should be rejected.

Clinical Information

Fluorescence in situ hybridization (FISH) analysis using gene-specific probes is a useful methodology to detect common, recurrent chromosome abnormalities for most hematologic malignancies. Based on morphologic review of the bone marrow or peripheral blood specimen by a hematopathologist, a determination of additional appropriate testing can be made. If the specimen does not show evidence of malignancy, FISH analysis may not be necessary. Depending on the diagnosis, conventional chromosome analysis may also be more informative.

Reference Values

Not applicable

Interpretation

If notified by the client, this test may be canceled, and a processing fee will be assessed.

 

If no notification to proceed with testing is received, this test will be reported as "cancelled."

Cautions

No significant cautionary statements

Method Description

The specimen will be held in the laboratory while preliminary morphologic assessment is in process to determine if fluorescence in situ hybridization (FISH) testing is appropriate.

Day(s) Performed

Monday through Sunday

Report Available

4 days

CPT Code Information

See individual reflex tests

NY State Approved

Yes

Forms

If not ordering electronically, complete, print, and send a Hematopathology/Cytogenetics Test Request (T726) with the specimen.

Test Classification

Not Applicable