Test Directory

Test Code
PMLNG
Test Name
PML-RARA Translocation, t(15:17) Quantitative Analysis
CPT Codes
81315
Included Tests

Real-time RT-PCR for quantitative detection of the t(15;17) PML-RARA fusion transcript. Both long and short isoforms of the fusion transcript are detected. Positive results identify the isoform and quantify it as a ratio with the amount of transcript from a normal control gene.

Expected Turnaround Time
7 - 10 business days
Clinical Utility

The (15;17) translocation occurs in nearly all cases of acute promyelocytic leukemia (APL) also known as Acute Myeloid Leukemia (AML) subtype M3. The translocation is associated with a high rate of complete remission due to sensitivity of leukemic cells to all trans-retinoic acid (ATRA). This assay is recommended for diagnostic confirmation and initiation of ATRA therapy, for monitoring minimal residual disease (MRD), and for detection of relapse.

Specimen and Container Info

Specimen

Container

Preferred Volume

Minimum Volume

Bone Marrow (Preferred)

Lavender Top (EDTA)

2 mL

1 mL

Peripheral Blood (Acceptable)

Lavender Top (EDTA)

5 mL

3 mL

Processing and Submission Instructions

Ship same day as drawn whenever possible

Transport Instructions

Transport to laboratory refrigerated.

Stability Requirements

Refrigerated

7 days

Causes for Rejection
  • Frozen specimens
  • Fixed specimens
  • Incorrect collection container
Methodology
Molecular
Limitations

Analytic sensitivity is 1 tumor cell in 10,000 normal cells.

Performing Location
Roble Road Core Laboratory
Alternate Names
  • PML-RARA Translocation, t(15:17) Quant.
  • PML-RARA Fusion, Quantitative Analysis
Reference Lab
Neogenomics Laboratories, Inc.
Testing Schedule
Routine, Monday - Friday no holidays