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13q deletion FISH

Also known as: 13q14 FISH, CLL FISH

Test category:

Oncology - Lymphoma

Use of test

Purpose:

Deletions affecting the long arm of Chromosome 13 can be found in a number of mature B-cell lymphoid neoplasms, particularly chronic lymphocytic leukaemia (CLL), and also splenic marginal zone lymphoma and mantle cell lymphoma. Testing provides information regarding prognosis.

Utility:

Presence of a 13q deletion as a sole abnormality is a positive prognostic sign in CLL.

Ethical considerations:

This is an assay for non-heritable mutations. It does not raise issues of ethics or consent that are different from most other investigations ordered in the routine care of a patient.

Methodology:

Fluorescent in situ hybridisation (FISH) analysis, using probes located within 13q. This interphase FISH test has a cut off at 5%. A low level of positive cells may be due to overlap of the two signals. Studies of normal controls indicate that this level is less than 5%.

Requesting the test

Ordering:

This test is usually requested by a haematologist or oncologist.

Sample required:

0.5 mL bone marrow in transport media, or 5-10 mL blood in lithium heparin.

To help ensure the quality of the test, a genetic test should be done with a dedicated sample whenever possible i.e. a sample collected specifically for that test rather than a sample that is used for multiple tests.

We recommend that the patient or another adult check the labelling of request forms and sample tubes.

Special instructions:

In CLL, this test is part of the CLL FISH panel.

Turnaround time:

5 business days.

Price:

Up to $255.

If more information is required, the requesting clinician can call our laboratory on (07) 3377 8573.

Rebate:

This test is not rebated by Medicare. The laboratory assumes that the patient or client has provided informed financial consent for the test.

Click here for our billing policy.