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Sorted By Test Name - Mayo Medical Laboratories

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FRTLP<br />

89040<br />

89041<br />

Clinical References: 1. World Heath Organization Classification of Tumours. Pathology and<br />

Genetics of Tumours of Haematopoietic and Lymphoid Tissues. Edited by ES Jaffe, NL Harris, H Stein,<br />

JW Vardiman. Lyon, IARC Press, 2001 2. Gesk S, Martin-Subero JI, Harder L, et al: Molecular<br />

cytogenetic detection of chromosomal breakpoints in T-cell receptor gene loci. Leukemia<br />

2003;17:738-745 3. Chin M, Mugishima H, Takamura M, et al: Hemophagocytic syndrome and<br />

hepatosplenic (gamma)(delta) T-cell lymphoma with isochromosome 7q and 8 trisomy. J Pediatr Hematol<br />

Oncol 2004;26(6):375-378 4. Graux C, Cools J, Michaux L, et al: Cytogenetics and molecular genetics of<br />

T-cell acute lymphoblastic leukemia: from thymocyte to lymphoblast. Leukemia 2006;20:1496-1510 5.<br />

Cayuela JM, Madani A, Sanhes L, et al: Multiple tumor-suppressor gene 1 inactivation is the most<br />

frequent genetic alteration in T-cell acute lymphoblastic leukemia. Blood 1996;87:2180-2186 6. Hayette<br />

S, Tigaud I, Maguer-Satta V, et al: Recurrent involvement of the MLL gene in adult T-lineage acute<br />

lymphoblastic leukemia. Blood 2002;99:4647-4649 7. Graux C, Cools J, Melotte C, et al: Fusion of<br />

NUP214 to ABL1 on amplified episomes in T-cell acute lymphoblastic leukemia. Nat Genet<br />

2004;36:1084-1089<br />

T-Cell Lymphoma, FISH, Blood or Bone Marrow<br />

Clinical Information: T-cell neoplasms are relatively uncommon, accounting for approximately 12%<br />

of all non-Hodgkin lymphomas. There are several subtypes of T-cell neoplasms: T-cell acute<br />

lymphoblastic leukemia (T-ALL), T-cell prolymphocytic leukemia (T-PLL), T-cell large granular<br />

lymphocytic leukemia (T-LGL), anaplastic large cell lymphoma (ALCL), peripheral T-cell lymphoma,<br />

and various other cutaneous, nodal, and extranodal lymphoma subtypes. The 2 most prevalent lymphoma<br />

subtypes are unspecified peripheral T-cell lymphoma (3.7%) and ALCL (2.4%). T-cell neoplasms are<br />

among the most aggressive of all hematologic and lymphoid neoplasms with the exception of ALCL,<br />

which is usually responsive to chemotherapy. There are a few common chromosome anomalies associated<br />

with specific subtypes, which this FISH test can detect: -inv(14)(q11q32) and t(14;14)(q11;q32), which<br />

involve the T-cell leukemia/lymphoma 1 gene (TCL1A) and have been associated with T-PLL<br />

-Isochromosome 7q and trisomy 8, which have been associated with hepatosplenic T-cell lymphoma<br />

These probes have diagnostic relevance and can also be used to track response to therapy. This assay<br />

detects chromosome abnormalities observed in the blood and bone marrow of patients with T-cell<br />

lymphoma (for patients with T-cell acute leukemia, see FRTAL/88783 T-Cell Acute Lymphoblastic<br />

Leukemia [T-ALL], FISH).<br />

Useful For: Detecting a neoplastic clone associated with the common chromosome anomalies seen in<br />

patients with various T-cell lymphomas Tracking known chromosome anomalies and response to therapy<br />

in patients with T-cell lymphoma<br />

Interpretation: A neoplastic clone is detected when the percent of cells with an abnormality exceeds<br />

the normal reference range for any given probe. Detection of an abnormal clone supports a diagnosis of a<br />

T-cell lymphoma. The specific anomaly detected may help subtype the neoplasm. The absence of an<br />

abnormal clone does not rule out the presence of neoplastic disorder.<br />

Reference Values:<br />

An interpretive report will be provided.<br />

Clinical References: 1. World Heath Organization Classification of Tumours. Pathology and<br />

Genetics of Tumours of Haematopoietic and Lymphoid Tissues. Edited by ES Jaffe, NL Harris, H Stein,<br />

JW Vardiman. Lyon, IARC Press, 2001 2. Gesk S, Martin-Subero JI, Harder L, et al: Molecular<br />

cytogenetic detection of chromosomal breakpoints in T-cell receptor gene loci. Leukemia<br />

2003;17:738-745 3. Chin M, Mugishima H, Takamura M, et al: Hemophagocytic syndrome and<br />

hepatosplenic (gamma)(delta) T-cell lymphoma with isochromosome 7q and 8 trisomy. J Pediatr Hematol<br />

Oncol 2004;26(6):375-378<br />

T-Cell Lymphoma, FISH, Tissue<br />

Clinical Information: T-cell malignancies account for approximately 12% of all non-Hodgkin<br />

lymphomas. There are several subtypes of T-cell neoplasms: T-cell acute lymphoblastic leukemia<br />

Current as of January 4, 2013 7:15 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong><strong>Laboratories</strong>.com Page 1682

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