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FKHR Oncology FISH

CPT

Contact CPT coding department at 800-222-7566, ext 6-8400.

Synonyms
  • Leukemia FISH
  • Lymphoma FISH
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  • Updated on 03/31/2025

Test Details

Methodology

Fluorescence in situ hybridization (FISH)

Result Turnaround Time

3 - 5 days

Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.

Related Information

  • href="https://www.labcorp.com/tests/510669/fluorescence-in-situ-hybridization-fish-oncology">Fluorescence in situ Hybridization (FISH), Oncology [510669] 

Use

This test is used for confirmation/identification of cancer-related alterations (alveolar rhabdomyosarcoma).

Confirmation/identification of cancer-related alterations (alveolar rhabdomyosarcoma)

This test is used for confirmation/identification of cancer-related alterations (alveolar rhabdomyosarcoma).

Special Instructions

There will be an additional charge for processing paraffin block samples or for samples that require culture.

Limitations

Molecular mutations or chromosomal alterations not targeted by the probe included in this profile will not be detected. 

This test was developed and its performance characteristics determined by Labcorp. It has not been cleared or approved by the Food and Drug Administration.

Molecular mutations or chromosomal alterations not targeted by the probe included in this profile will not be detected. 

This test was developed and its performance characteristics determined by Labcorp. It has not been cleared or approved by the Food and Drug Administration.

Custom Additional Information

A FKHR gene rearrangement is found in alveolar rhabdomyosarcoma (A-RMS). A-RMS is characterized by two pathognomonic translocations which generate gene fusions: t(2;13)(q35;q14) [PAX3-FKHR] and t(1;13)(p36;q14) [PAX7-FKHR], found in 80% and 15% of cases, respectively.

Specimen Requirements

Specimen

Fixed-cell pellet from a cytogenetic analysis, slides with metaphases and/or interphase nuclei or bone marrow touch prep slides; whole blood, bone marrow, cerebrospinal fluid (CSF), FNA, paraffin block are also acceptable with additional charge

Fixed-cell pellet from a cytogenetic analysis, slides with metaphases and/or interphase nuclei, or bone marrow touch prep slides. Blood, bone marrow, cerebrospinal fluid (CSF), FNA, paraffin block are also acceptable with additional charge.

Fixed-cell pellet from a cytogenetic analysis, slides with metaphases and/or interphase nuclei or bone marrow touch prep slides; whole blood, bone marrow, cerebrospinal fluid (CSF), FNA, paraffin block are also acceptable with additional charge

Volume

5 mL whole blood (pediatric), 3 mL bone marrow, fixed-cell pellet from a cytogenetic analysis, 2 slides with metaphase and/or interphase nuclei, 2 touch preparation slides or 3 slides from paraffin block

Fixed-cell pellet, three slides, 10 mL blood (adult), 5 mL blood (pediatric), or 3 mL bone marrow

5 mL whole blood (pediatric), 3 mL bone marrow, fixed-cell pellet from a cytogenetic analysis, 2 slides with metaphase and/or interphase nuclei, 2 touch preparation slides or 3 slides from paraffin block

Minimum Volume

1 mL whole blood (pediatric), 1 mL bone marrow, fixed-cell pellet from cytogenetic analysis, 1 slide with metaphase and/or interphase nuclei, 1 touch preparation slide or 2 paraffin slides (Note: Minimum volumes may not allow for repeat testing.)

Fixed-cell pellet from a cytogenetic analysis, two slides, 5 mL blood (adult), 1 mL blood (pediatric), or 1 mL bone marrow

1 mL whole blood (pediatric), 1 mL bone marrow, fixed-cell pellet from cytogenetic analysis, 1 slide with metaphase and/or interphase nuclei, 1 touch preparation slide or 2 paraffin slides (Note: Minimum volumes may not allow for repeat testing.)

Container

Green-top (sodium heparin) tube; pediatric Vacutainer® is optimal or lavender-top (EDTA) tube (suboptimal). For samples with shared karyotype (510999) and any FISH study in the same tube, EDTA is not recommended due to the growth inhibition in cell culture. Adjust tube size to sample volume to avoid heparin toxicity.

Green-top (sodium heparin) tube; pediatric Vacutainer® is optimal or lavender-top (EDTA) tube

Green-top (sodium heparin) tube; pediatric Vacutainer® is optimal or lavender-top (EDTA) tube (suboptimal). For samples with shared karyotype (510999) and any FISH study in the same tube, EDTA is not recommended due to the growth inhibition in cell culture. Adjust tube size to sample volume to avoid heparin toxicity.

Collection Instructions

Utilize sterile technique and Labcorp transport kits when possible.

Transport to the testing lab at room temperature; use a cool pack or LabCorp transport kit. Do not allow sample to freeze. Sample must arrive in the laboratory within 72 hours of collection.

Utilize sterile technique and Labcorp transport kits when possible.

Storage Instructions

Transport to the testing laboratory at room temperature; use of a cool pack or a Labcorp transport kit is acceptable. Do not allow samples to overheat or freeze.

Maintain specimen at room temperature.

Transport to the testing laboratory at room temperature; use of a cool pack or a Labcorp transport kit is acceptable. Do not allow samples to overheat or freeze.

Causes for Rejection

Broken or dirty slides; excessive cellular debris or stained slides; decalcified bone cores; frozen specimen

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
510371 FKHR Oncology FISH 510392 Specimen Type 31208-2
510371 FKHR Oncology FISH 510393 Cells Counted N/A
510371 FKHR Oncology FISH 510394 Cells Analyzed N/A
510371 FKHR Oncology FISH 510366 FISH Result 48674-6
510371 FKHR Oncology FISH 510399 Interpretation 50398-7
510371 FKHR Oncology FISH 510367 Director Review: 48672-0
510371 FKHR Oncology FISH 512123 PDF 11502-2
Order Code510371
Order Code NameFKHR Oncology FISH
Order Loinc
Result Code510392
Result Code NameSpecimen Type
UofM
Result LOINC31208-2
Order Code510371
Order Code NameFKHR Oncology FISH
Order Loinc
Result Code510393
Result Code NameCells Counted
UofM
Result LOINCN/A
Order Code510371
Order Code NameFKHR Oncology FISH
Order Loinc
Result Code510394
Result Code NameCells Analyzed
UofM
Result LOINCN/A
Order Code510371
Order Code NameFKHR Oncology FISH
Order Loinc
Result Code510366
Result Code NameFISH Result
UofM
Result LOINC48674-6
Order Code510371
Order Code NameFKHR Oncology FISH
Order Loinc
Result Code510399
Result Code NameInterpretation
UofM
Result LOINC50398-7
Order Code510371
Order Code NameFKHR Oncology FISH
Order Loinc
Result Code510367
Result Code NameDirector Review:
UofM
Result LOINC48672-0
Order Code510371
Order Code NameFKHR Oncology FISH
Order Loinc
Result Code512123
Result Code NamePDF
UofM
Result LOINC11502-2