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haematology users' handbook - University College London Hospitals

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Leukaemia Cytogenetics (page 1 of 5)<br />

2 nd Floor, 60 Whitfield St <strong>London</strong> W1T 4EU Hours: 09.00 – 17.00 Monday - Friday Tel: 0203 447 9603 or x 79603<br />

• All samples for Leukaemia Cytogenetics are sent from the Flow Cytometry Laboratory to referral Laboratories.<br />

Test<br />

Specimen<br />

type<br />

Key Factors<br />

affecting tests<br />

Notes<br />

Out of<br />

hours<br />

service<br />

Time Limit<br />

for<br />

requesting<br />

additional<br />

tests from<br />

time of<br />

venesection<br />

Turnaround<br />

time from<br />

receipt of<br />

sample (in<br />

working<br />

days)<br />

Cytogenetic (chromosomal analysis)<br />

-Testing for suspected haematological<br />

disease disorders<br />

(at presentation, post therapy or bone<br />

marrow transplant).<br />

Aplastics/ general anaemia<br />

Acute Myeloid Leukaemia –<br />

M1,M2,M3,M4,M4Eo,M5<br />

A.L.L<br />

Burkitt’s Lymphoma<br />

CLL<br />

CML<br />

Diffuse Large B cell Lymphoma<br />

ET<br />

Follicular Lymphoma<br />

Mantle cell lymphoma<br />

MDS (CMML/RA/RARS/RAEB)<br />

Myelofibrosis<br />

Multiple Myeloma<br />

MPD (ET/Polycythaemia)<br />

NHL<br />

Pancytopenia<br />

Plasma cell Leukaemia<br />

PRV<br />

Thrombocytopenia/Neutropenia<br />

Bone Marrow<br />

Peripheral<br />

Blood:<br />

5-10ml<br />

Samples<br />

should be in<br />

Lithium<br />

Heparin or<br />

Cytopots<br />

(RPMI 1640 +<br />

Heparin<br />

medium).<br />

Except for<br />

CD138+<br />

isolated<br />

plasma cells<br />

for FISH on<br />

multiple<br />

myeloma<br />

cases.<br />

Poor sample<br />

quality (clotted<br />

or more than a<br />

day old)<br />

Sample<br />

transported and<br />

or stored above<br />

or below room<br />

temperature<br />

Sample<br />

Contaminated<br />

by bacteria<br />

Sample taken<br />

into wrong<br />

transport<br />

medium<br />

Sent to: Great Ormond Street<br />

Hospital, Paediatric<br />

Malignancy Unit (PMU)<br />

Samples must be received<br />

before 2pm (Monday-Friday)<br />

for samples to get to PMU on<br />

the same day.<br />

Analysis will be carried as<br />

appropriate or in consultation<br />

with the referring Consultant<br />

or Registrar.<br />

The samples may be left<br />

overnight at room temperature<br />

and delivered to laboratory<br />

immediately the following<br />

morning.<br />

No<br />

service<br />

provided<br />

N/A<br />

Urgent<br />

referrals:<br />

10 working<br />

days<br />

Routine<br />

requests:<br />

15 working<br />

days<br />

HAEM-PD-UserHbook V8 Haematology and Blood Transfusion User Handbook Page 34 of 38<br />

Authors: Karen Orfinada (Senior Biomedical Scientist)<br />

Sally McDonald (Senior Biomedical Scientist) Authorised by: Dave Barnett Review Date: August 2015

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