Test Method

FISH

Disease Long Name

Marginal Zone Lymphoma

Disease Abbreviation

MZL

CPT Code

88377x5, 88368 (Global)
88374x5, 88367 (Tech-only)

Probes / Test Description

7q/CEP7, CEP12, BCL6-break-apart, MALT1-break-apart, IGH-break-apart, TP53/CEP17
IF MALT1-break-apart rearranged, REFLEX TO: t(11;18)/BIRC3-MALT1, t(14;18)/IGH-MALT1
IF IGH-break-apart rearranged, REFLEX TO: t(11;14)/CCND1-IGH, CCND1-break-apart, t(14;18)/IGH-BCL2
IF unresolved question of MCL, REFLEX: t(6:14)/CCND3-IGH, CCND2-break-apart

Specimen Requirements

  • Bone marrow aspirate: 2-3 mL in sodium heparin (green top) preferred, or 1-2 mL in EDTA (purple top)
  • Peripheral blood: 3 mL in sodium heparin (green top) preferred, or 3 mL in EDTA (purple top)
  • Fresh Tissue: Multiple 2-3 mm pieces of tissue in RPMI transport media (optimum RPMI to tissue ratio is 15:1; (multiple vials are acceptable)
  • Formalin-Fixed Paraffin-Embedded Tissue: Minimum 0.2 x 0.2 x 0.2 cm tissue, non-decalcified tissue only

Storage & Transport

Ship specimen the same day whenever possible, with refrigerated (not frozen) cold pack.

Label all tubes with at least two unique patient identifiers. Slides require one patient identifier. Identifiers include name, DOB, specimen ID# or medical record#.

Turnaround time

3 - 5 days

Level of Service

Global
Tech-Only