IGH/BCL2 t(14;18), paraffin


Test Name

IGH/BCL2 t(14;18), paraffin

Test Code

FP BCL2

Synonyms

IGH/BCL2; t(14;18)(q32;q21)

Associations

B-cell lymphoma (BCL), Non-Hodgkin lymphoma (NHL), Follicular lymphoma (FCL)

CPT Codes

88377, 88271

Turnaround Time

5

Specimen Requirements

FFPE tissue is acceptable for FISH analysis. Preferred fixative is 10% neutral buffered formalin. Tissues preserved in B5 fixative or decalcified are usually not suitable for FISH. Tumor sections cut 3-5 µm thick and mounted on positively charged organosilane coated (silanized) slides work well. Request several unstained sections (two for each probe) and one H&E stained slide

Specimen Stability

Stable indefinitely when stored at 20°C to 25°C

Storage & Handling

4°C to 25°C during transit, but specimens may be transported on refrigerated gel packs. Do not allow the gel pack to come in contact with the specimen. Do not freeze. Extreme temperatures should be avoided.

Causes for Rejections

Improper fixative; Tissue not fixed; Insufficient tissue; Specimen exposed to extreme temperature

Description

BCL2 blocks apoptosis and maintains long-term immune responsiveness including B-cell memory. The most frequent non-random chromosome rearrangement in non-Hodgkin lymphoma (NHL) of B-cell type is t(14;18)(q32;q21), which is found in approximately 50–85% of

References

  1. Noreiga M et al. (2004). Blood Cells, Molecules and Diseases. Volume 32, Issue 1. 232-239.
  2. Vaandrager J et al. (2000). Genes Chrom Cancer. 25:85-94.

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