PDGFRA Rearrangement

Message
Probes: PDGFRA | CHIC2 | FIP1L1 (4q12) Disease(s): Chronic eosinophilic leukemia, MPN


Test Code
LAB6046


Alias/See Also
PDGFR Alpha Rearrangement


CPT Codes
88374x1 automated or 88377x1 manual.

Preferred Specimen
Bone Marrow Aspirate: 1-2mL Sodium Heparin Tube. EDTA tube is acceptable Peripheral Blood: 2-5mL Sodium Heparin Tube. EDTA tube is acceptable Fresh, Unfixed Tissue: Tissue in RPMI Fluids: Equal parts RPMI to specimen volume. Paraffin block: Send paraffin block. Also send circled H&E slide for tech-only (required). Cut slides: H&E slide (required) plus 4 unstained slides cut at 4-5 microns. Circle H&E slide for tech-only.


Instructions
Refrigerate specimen. Do not freeze. Use cold pack for transport, making sure cold pack is not in direct contact with specimen.


Methodology
FISH

Report Available
3-5 days


Clinical Significance
FISH for FIP1L1-PDGFRA is generally found in chronic eosinophilic leukemia, but the presentation can be as acute myeloid leukemia, T-lymphoblastic lymphoma or both simultaneously. Detection of this abnormality predicts responsiveness to tyrosine kinase inhibitors. PDGFRA rearrangement is usually cryptic by routine cytogenetic analysis.


Performing Laboratory
Neogenomics Laboratories



The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.