SS18 (SYT) Rearrangement, FISH

SS18 (SYT) Rearrangement, FISH
WSLH Department: Cytogenetics
WSLH Test Code:882F86
Includes:FISH analysis of 200 interphase cells for rearrangement of the SS18 (SYT) (synovial sarcoma translocation) gene
Methodology:**(CPT Codes: 88271x2, 88275)** Fluorescence in situ hybridization performed on interphase nuclei using a break-apart DNA probe (LSI SS18 dual color, break apart rearrangement; Vysis, Inc) specific for the SS18 (SYT) gene in 18q11.2. This probe is designed to detect rearrangements of the SS18 gene including translocations and deletions. Translocation partner chromosomes cannot be determined by this test.
Availability:Monday-Friday 7:45 AM - 4:30 PM, Saturday 7:45 AM - 12:00 PM
Turn-around Time:Approximately 2-4 days. (Reports are issued Monday-Friday 7:45 AM - 4:30 PM)
Recommended Uses:Detection of rearrangements of the SS18 (SYT) gene associated with synovial cell sarcoma. Aids in diagnosis and prognosis, and for monitoring disease after treatment. May be performed in conjunction with other FISH assays, chromosome analysis (for fresh tissue only) or as an independent test.
Specimen Requirements:Fresh tissue: At least 0.3cm cubed section of tumor; avoid areas of necrosis OR Paraffin embedded tissue (FFPE): Five 4-micron sections on immunohistochemistry slides, the middle section stained with H&E
Collection Kit/Container: 
Patient Preparation: 
Collection Instructions:** Fresh tissue: A 0.3-1.0cm cubed section collected using aseptic procedures; avoid areas of necrosis. Place the specimen in a sterile tissue vial containing transport media. ** FFPE tissue: Tissue specimen should be fixed in 10% neutral buffered formalin for 6-48 hours.
Specimen Handling and Transport:Store and transport specimens at room temperature (may transport with coolant during hot, >85 degrees F weather). DO NOT FREEZE. The laboratory must receive specimens within 24 hours of collection.
Unacceptable Conditions:Samples must not be frozen. FFPE tissue specimen must not be de-calcified.
Requisition Form:Cytogenetics Lab Neoplasia Diagnosis Form #132
Required Information:Laboratory regulations require the following minimum information to be provided on the requisition form for a specimen to be accepted for testing: Patient name or unique identifier; date and time of collection, patient date of birth and sex, specimen type/site of collection, test request(s), reason for referral, clinician name and UPIN/NPI, and address for reporting results. Please be certain that name/identifier on the form matches that on the specimen label.
Results include:Number of nuclei examined, percent positive for rearrangement, and the reference range for false positives based on the average number of cells with an abnormal signal pattern in two hundred control cells. Karyotype written using International System for Human Cytogenetic Nomenclature (ISCN) 2013 and interpretation of results.
Limitations:Detects rearrangements involving this gene; the translocation partner chromosome cannot be determined by this test. Failure to identify an abnormal clone by FISH does not rule out the presence of other abnormalities in the specimen.
Additional Tests Recommended: 
Additional Comments:If FISH assay is not performed in conjunction with chromosome analysis there is an additional charge for processing the specimen.
Additional Tests Performed: 

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