Test Code TLPFD T-Cell Lymphoma Panel, Diagnostic, FISH, Varies
Ordering Guidance
This test is intended for instances when a non-specific T-cell lymphoma fluorescence in situ hybridization (FISH) panel is needed. This test should NOT be used to screen for residual T-cell lymphoma.
This test should only be ordered if the specimen is known to have a sufficient clonal T-cell population. If a flow cytometry result is available and does not identify a sufficient clonal T-cell population, this test will be canceled and no charges will be incurred.
This test should NOT be used to screen for residual T-cell lymphoma.
If limited T-cell lymphoma FISH probes are preferred, order TLPMF / T-Cell Lymphoma, Specified FISH, Varies, and request specific probes for targeted abnormalities.
This assay detects chromosome abnormalities observed in blood or bone marrow specimens of patients with T-cell lymphoma. If a paraffin-embedded tissue specimen is submitted, the test will be canceled and TLYM / T-Cell Lymphoma, FISH, Tissue will be added and performed as the appropriate test.
For patients with T-cell acute lymphoblastic leukemia/lymphoma (T-ALL/LBL), order either TALAF / T-Cell Acute Lymphoblastic Leukemia/Lymphoma (ALL), FISH, Adult, Varies or TALFP / Pediatric T-Lymphoblastic Leukemia/Lymphoma Panel, FISH, Varies, depending on the age of the patient. For testing paraffin-embedded tissue samples from patients with T-cell lymphoblastic Lymphoma, see TLBLF / T-Cell Lymphoblastic Leukemia/Lymphoma, FISH, Tissue.
Shipping Instructions
Advise Express Mail or equivalent if not on courier service.
Necessary Information
1. A reason for testing must be provided. If this information is not provided, an appropriate indication for testing may be entered by Mayo Clinic Laboratories.
2. A flow cytometry and/or a bone marrow pathology report should be submitted with each specimen. The laboratory will not reject testing if this information is not provided, but appropriate testing and interpretation may be compromised or delayed.
Specimen Required
Submit only 1 of the following specimens:
Preferred
Specimen Type: Bone marrow
Container/Tube:
Preferred: Yellow top (ACD)
Acceptable: Green top (sodium heparin) or lavender top (EDTA)
Specimen Volume: 2-3 mL
Collection Instructions:
1. It is preferable to send the first aspirate from the bone marrow collection.
2. Invert several times to mix bone marrow.
3. Send bone marrow in original tube. Do not aliquot.
Acceptable
Specimen Type: Whole blood
Container/Tube:
Preferred: Yellow top (ACD)
Acceptable: Green top (sodium heparin) or lavender top (EDTA)
Specimen Volume: 6 mL
Collection Instructions:
1. Invert several times to mix blood.
2. Send whole blood specimen in original tube. Do not aliquot.
Useful For
Detecting, at diagnosis, common chromosome abnormalities associated with specific T-cell lymphoma subtypes using a laboratory-designated probe set algorithm
This test should not be used to screen for residual T-cell lymphoma
Testing Algorithm
This test includes a charge for the probe application, analysis, and professional interpretation of results for 4 probe sets (8 individual fluorescence in situ hybridization [FISH] probes). Additional charges will be incurred for all reflex or additional probe sets performed. Analysis charges will be incurred based on the number of cells analyzed per probe set. If no cells are available for analysis, no analysis charges will be incurred.
This test is performed as panel testing only using the following analysis algorithm.
The initial (diagnostic) T-cell lymphoma FISH panel includes testing for the following abnormalities using the FISH probes listed:
The diagnostic T-cell lymphoma FISH panel includes testing for the following abnormalities using the FISH probes listed:
i(7q) or isochromosome 7q, D7Z1/D7S486 probe set
+8 or trisomy 8, D8Z2/MYC probe set
t(14q11.2;var) or TRA rearrangement, TRA break-apart probe set
t(14q32.1;var) or TCL1A rearrangement, TCL1A break-apart probe set
When this test and flow cytometry testing for leukemia/lymphoma are ordered concurrently, the flow cytometry result will be utilized to determine if sufficient clonal T-cells are available for FISH testing. If the result does not identify a sufficient clonal T-cell population, this FISH test order will be canceled, and no charges will be incurred. The T-cell lymphoma subtype will be used by the laboratory to determine appropriate FISH probes, if determined and applicable.
Appropriate ancillary probes may be performed at consultant discretion to render comprehensive assessment. Any additional probes will have the results included within the final report and will be performed at an additional charge.
For more information Bone Marrow Staging for Known or Suspected Malignant Lymphoma Algorithm.
Special Instructions
Method Name
Fluorescence In Situ Hybridization (FISH)
Reporting Name
T-lymphoma BM/BL panel, Diag, FISHSpecimen Type
VariesSpecimen Minimum Volume
Bone marrow: 1 mL; Whole blood: 2 mL
Specimen Stability Information
Specimen Type | Temperature | Time |
---|---|---|
Varies | Ambient (preferred) | |
Refrigerated |
Reject Due To
All specimens will be evaluated at Mayo Clinic Laboratories for test suitability.Reference Values
An interpretive report will be provided.
Day(s) Performed
Monday through Friday
Report Available
7 to 10 daysPerforming Laboratory

Test Classification
This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.CPT Code Information
88271 x8, 88275 x4, 88291 x1- FISH Probe, Analysis, Interpretation; 4 probe set
88271 x2, 88275 x1 - FISH Probe, Analysis; each additional probe set (if appropriate)
LOINC Code Information
Test ID | Test Order Name | Order LOINC Value |
---|---|---|
TLPFD | T-lymphoma BM/BL panel, Diag, FISH | 101682-3 |
Result ID | Test Result Name | Result LOINC Value |
---|---|---|
622431 | Result Summary | 50397-9 |
622432 | Interpretation | 69965-2 |
622433 | Result Table | 93356-4 |
622434 | Result | 62356-1 |
GC161 | Result Summary | 50397-9 |
GC162 | Reason for Referral | 42349-1 |
GC163 | Specimen | 31208-2 |
622435 | Source | 31208-2 |
622436 | Method | 85069-3 |
622437 | Additional Information | 48767-8 |
622438 | Disclaimer | 62364-5 |
622439 | Released By | 18771-6 |