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BCL2 Gene Rearrangement

CPT 81402
Synonyms

BCL2 by PCR

Test Details

Cancer Type

Hematologic malignancies, Lymphoma

Technology Used

Molecular

Turnaround Time

5 - 7 days

Use

Diagnosis and monitoring of follicular lymphoma and diffuse large B-cell lymphoma

Limitations

The absence of a detectable fusion product does not exclude the presence of a rearrangement outside of the two breakpoint regions evaluated, or the presence of a B-cell lymphoma without an underlying BCL2-IGH translocation. In addition, it is important to note that the BCL2-IGH gene rearrangement has also been detected at low levels in some apparently benign hyperplastic lymphoid tissues.

Methodology

Molecular Polymerase chain reaction (PCR)

Specimen Requirements

Information on collection, storage, and volume

Specimen

Whole blood, bone marrow, fresh or frozen tissue, fixed-cell pellet

Volume

7 mL whole blood, 2 mL bone marrow, or 0.5g tissue

Container

Lavender-top (EDTA) tube, yellow-top (ACD-A) tube, or tissue in lymph node transport bottle

Storage Instructions

Maintain specimen at room temperature. Some specimen types may be submitted frozen; call client services for instructions.

Causes for Rejection

Specimen more than 48 hours old; clotted blood

Collection

Indicate date and time of collection on the request form. To avoid delays in turnaround time when requesting multiple tests on frozen samples, please submit separate frozen specimens for each test requested.