Test Directory

Test Code
FBC6T
Test Name
BCL6, 3q27.3 Gene Rearrangement by FISH (Tissue)
CPT Codes
8837726, 88377TC
Included Tests

BCL6, 3q27.3

Expected Turnaround Time
3-5 business days
Clinical Utility

The B-cell lymphoma 6 (BCL6) gene is localized to 3q27. Rearrangements of 3q27 may be seen in case diffuse large B-cell lymphoma (30-40%) and follicular lymphoma (5-15%). Structural rearrangements include translocations and microdeletions, with about one-half of the translocations involving the immunoglobulin genes at 14q32, 2p12 and 22q13. The remaining translocations involve 3q27 with a wide variety of other chromosome partners. FISH can detect this rearrangement in either interphase or metaphase cells.

Specimen and Container Info

Specimen: Formalin-Fixed Paraffin Embedded (FFPE) Tissue Block or 2 slides from FFPET block, cut at 4 micron thickness and mounted on charged lysine slides with accompanying H&E slide indicating the region(s) of interest (ROI), if the entire specimen is not tumor.

Collection Instructions

Specimens should have an ischemia time of < 1 hour and a formalin fixation time of

6 - 72 hours.

Transport Instructions

Transport to the laboratory at room temperature.

Causes for Rejection
  • Specimen arriving without any form of patient identification (unlabeled)
  • FFPET sections that are not properly attached to the slide
  • FFPET sections with excessive cracks, splits or deterioration that would inhibit analysis
  • Broken FFPET slides
Methodology
FISH, Fluorescence In-Situ Hybridization
Reference Intervals

In a normal cell, the expected signal pattern is two fusion signals. In an abnormal cell containing a rearrangement, the expected signal pattern is one red signal, one green signal, and one fusion signal.

Performing Location
Roble Road Core Laboratory
Alternate Names
  • FISH BCL6 Breakapart
  • BCL6 BA
  • BCL6
  • B-Cell Lymphoma 6
Testing Schedule
Routine, Monday - Friday no holidays