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Sorted By Test Name - Mayo Medical Laboratories

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80027<br />

IABCS<br />

88800<br />

patients with B-cell lymphoma and track the response to therapy.<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. The absence of an abnormal clone does not rule the<br />

presence of neoplastic disorder.<br />

Reference Values:<br />

An interpretive report will be provided.<br />

Clinical References: 1. Remstein ED, Kurtin PJ, Buno I, et al: Diagnostic utility of fluorescence in<br />

situ hybridization in mantle-cell lymphoma. Br J Haematol 2000 Sep;110(4):856-862 2. Remstein ED,<br />

Kurtin PJ, James CD, et al: Mucosa-associated lymphoid tissue lymphomas with t(11;18) (q21;q21) and<br />

mucosa-associated lymphoid tissue lymphomas with aneuploidy develop along different pathogenetic<br />

pathways. Am J Pathol 2002 Jul;161(1):63-71 3. Remstein ED, Dogan A, Einerson RR, et al: The<br />

incidence and anatomic site specificity of chromosomal translocations in primary extranodal marginal<br />

zone B-cell lymphoma of mucosa-associated lymphoid tissue (MALT lymphoma) in North America. Am<br />

J Surg Pathol 2006 Dec;30(12):1546-1553H636<br />

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

Clinical Information: Lymphoid neoplasms are known to be complex and the prognosis and clinical<br />

course of patients with lymphoma is highly variable. Genetic abnormalities have emerged as 1 of the most<br />

reliable criteria for categorizing lymphomas. Several chromosome anomalies and variants of these<br />

anomalies have been associated with various kinds of lymphoma (see table). Unfortunately, conventional<br />

chromosome studies cannot be employed on paraffin-embedded tissue and molecular genetic analyses are<br />

often problematic in the study of lymphomas. New methods using chromosome-specific<br />

fluorescent-labeled DNA probes and FISH now permit detection of abnormal genes associated with<br />

various chromosome anomalies in lymphoma (see table). Common Chromosome Anomalies in<br />

Lymphomas Lymphoma Type Chromosome Anomaly FISH Probe Burkitt t(8;14)(q24;q32) MYC/IGH<br />

t(8;22)(q24;q11.2) MYC/IGL t(22;var)(q11.2;var) IGL Mantle Cell t(11;14)(q13;q32) CCND1/IGH<br />

Follicular t(14;18)(q32;q21) IGH/BCL2 Diffuse large B-cell t(3;var)(q27;var) BCL6 t(14;18)(q32;q21)<br />

IGH/BCL2 t(8;14)(q24;q32) MYC/IGH t(8;22)(q24;q11.2) MYC/IGL t(22;var)(q11.2;var) IGL<br />

Useful For: Detecting chromosome anomalies in paraffin-embedded lymphoid tissue Providing<br />

diagnostic and prognostic genetic information for the following lymphomas: mantle cell, follicular,<br />

Burkitt, and diffuse large B-cell lymphoma We recommend this test in cases where the diagnosis is<br />

questionable, or potential prognostic information may become available<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.<br />

Reference Values:<br />

An interpretive report will be provided.<br />

Clinical References: 1. Jaffe ES: World Health Organization of Tumours. Pathology and Genetics<br />

of Tumours of Haematopoietic and Lymphoid Tissues. International Agency for Research on Cancer 2001<br />

2. Paternoster SF, Brockman SR, McCLure RF, et al: A new method to extract nuclei from<br />

paraffin-embedded tissue to study lymphomas using interphase fluorescence in situ hybridization. Am J<br />

Pathol 2002;160(6):1967-1972 3. Remstein ED, Kurtin PJ, Buno I, et al: Diagnostic utility of fluorescence<br />

in situ hybridization in mantle-cell lymphoma. Br J Haematol 2000;110(4):856-862 4. Remstein ED,<br />

Kurtin PJ, James CD, et al: Mucosa-associated lymphoid tissue lymphomas with t(11;18)(q21;q21) and<br />

mucosa-associated lymphoid tissue lymphomas with aneuploidy develop along different pathogenetic<br />

pathways. Am J Pathol 2002;161:63-71<br />

B-Cell Phenotyping Profile for Immunodeficiency and Immune<br />

Competence Assessment, Blood<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 208

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