ARUP's Laboratory Test Directory

bcl-2/JH, t(14;18) Translocation by PCR, Fluid : 0055616

Mnemonic: BCL2C-F

Methodology: Polymerase Chain Reaction
Performed: DNA isolation: Sun-Sat; Assay: Sun-Sat
Reported: 2-7 days
Specimen Required: Collect: One 5 mL lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A), or 3 mL bone marrow (lavender, EDTA or pink K2EDTA).

Storage/Transport Temperature: 5 mL whole blood or 3 mL bone marrow at 2-8°C.(Min: 1 mL whole blood or 1 mL bone marrow)

Remarks: CSF and pleural fluid are also acceptable.

Unacceptable Conditions: Serum, frozen whole blood, or clotted blood. Severely hemolyzed specimens.

Stability (collection to initiation of testing): Ambient: 24 hours; Refrigerated: 5 days; Frozen: Unacceptable
Reference Interval:
Test Number Components Reference Interval
bcl-2/JH, t(14;18) Translocation Major Breakpoint Region (MBR), Fluid Negative: bcl-2/JH major breakpoint region gene rearrangement is not detected.
Positive: bcl-2/JH major breakpoint region gene rearrangement is detected.
bcl-2/JH, t(14;18) Translocation Minor Cluster Region, (MCR), Fluid Negative: bcl-2/JH minor cluster region gene rearrangement is not detected.
Positive: bcl-2/JH minor cluster region gene rearrangement is detected.

Interpretive Data: By report

Please refer to Statement B in the Compliance Statements section in the front of the Laboratory Test Directory.
Note: A positive result indicates the presence of a bcl-2/JH t(14;18) chromosomal translocation.  A negative result does not entirely exclude the presence of a bcl-2/JH chromosomal t(14;18) translocation.

Comment: The chromosomal translocation t(14;18) or bcl-2 gene rearrangement is present in approximately 90% of follicular lymphomas and in a significant minority (10-30%) of diffuse large-cell lymphomas of B-cell lineage. Since most bcl-2 breakpoints cluster at the major breakpoint region (~60%) or minor cluster region (~10%), this PCR assay is capable of detecting a majority of bcl-2/JH gene rearrangements. However, some breakpoints occur at distant loci and will not be identified by this particular test.
CPT Code(s): 83891 Isolation; 83898 x6 Amplification; 83894 x3 Gel separation; 83912 Interpretation and report - Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.
 
 
 

 

 

 
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