Days Set Up
Monday - Friday
Analytic Time

3 - 10 days

MiChart Code
IGH/BCL2 t(14;18) Translocation by PCR
Soft Order Code

Test Updated:


t(14;18) Translocation
IGH/BCL2, t(14;18) Shadow

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Test Overview

Test Methodology

Real-Time Polymerase Chain Reaction (PCR)

Test Usage

This test qualitatively detects IGH/BCL2, t(14;18) translocations involving the mbr, mcr, and icr breakpoint regions in peripheral blood, bone marrow, and fresh, frozen, or paraffin-embedded tissues. The t(14;18) translocation is the most frequent recurrent cytogenetic abnormality in follicular lymphoma, occurring in up to 90% of cases. The t(14;18) may also be identified in up to 30% of cases of de novo diffuse large B-cell lymphoma. The translocation joins the immunoglobulin heavy chain (IGH) locus on chromosome 14 and the BCL2 proto-oncogene on chromosome 18. The chromosome 14 breakpoints occur within the joining region (JH) of IGH, while the chromosome 18 breakpoints cluster within several distinct regions. These include the major (mbr), minor (mcr), and intermediate (icr) breakpoint cluster regions, which collectively account for approximately 70-80% of t(14;18) associated lymphomas.

Reference Range

Interpretive report provided.

* Reference ranges may change over time. Please refer to the original patient report when evaluating results.

Specimen Requirements

Collection Offsite

Collect blood or bone marrow in a lavender top tube. Refrigerate and send intact blood or bone marrow specimen within 48 hours of collection. Fresh tissue (preferably 0.5cm3, sent in RPMI) and fresh aspirates or body fluids are acceptable. Refrigerate and send, preferably within 24 hours. Frozen tissue specimens – preferably frozen with 1 hour of collection – may also be sent frozen on dry ice. Fresh cell suspensions in RPMI should be refrigerated and sent, preferably within 48 hours. Frozen cell suspensions – preferably frozen with 1 hour of collection – may also be sent frozen on dry ice. For formalin-fixed, paraffin-embedded tissue, a tissue block is preferred. Unstained, UNBAKED slides (5-8, 10-micron slides; 10-15 if few neoplastic cells are present) with associated H&E stained slide are also acceptable. Decalcified tissue or other fixatives will be accepted and the assay attempted, however these may result in failed testing due to degraded nucleic acid. Both blocks and slides should be stored at room temperature.

Lavender Top Tube
Normal Volume
5 mL EDTA (lavender) whole blood; 3 mL EDTA (lavender) bone marrow; Fresh/frozen tissue and fresh aspirates or body fluids; Fresh/frozen cells in RPMI; Formalin-fixed, paraffin-embedded tissue. Extracted DNA is also acceptable if extracted in a CLIA certified laboratory.
Minimum Volume

Billing Information

CPT Code
Pro Fee Code

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Our High Standard

Quality that sets us apart

As the reference laboratory division of Michigan Medicine's Department of Pathology, MLabs shares the institution's commitment to applying established quality principles to clinical laboratory testing. Like other large organizations in complex, consequential fields, we rely on an established approach to monitor quality throughout the testing process.