Acute B lymphoblastic Leukaemia/lymphoma (Paediatric)

Intended Use

B-ALL occurs predominantly in children, with 75% of all patients aged < 6 years, and is the most common leukaemia in the paediatric age group. B-ALL with ETV6::RUNX1 fusion is one of the most common subtypes of paediatric B-ALL/LBL and has a favourable prognosis. Intrachromosomal amplification of chromosome 21 (iAMP21) is a rare type of B-ALL/LBL with a poor prognosis that can show grossly abnormal chromosome 21 on karyotype analysis but is often observed by FISH while screening for ETV6::RUNX1.

Specimen Required
  • Bone Marrow: Transfer 3 mL bone marrow to a Green (Sodium Heparin). (Min: 1 mL)
  • Whole Blood: Transport 5 mL whole blood. (Min: 2 mL)
Patient Preparation
  • Sample collection: Non-diluted bone marrow aspirate. Collect in a sodium heparinized Vacutainer.
  • Specimen preparation: Do not freeze or expose to extreme temperatures.
  • Storage/Transport Temperature: Room temperature.
  • Unacceptable Conditions: Frozen specimens. Clotted specimens.
  • Remarks:
  • Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
Methodology

Fluorescence in situ Hybridization (FISH)

Sample received to report Turnaround time (TAT)

3 working days

Reference Interval

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Interpretive Data

Probes include: BCR-ABL1, ETV6-RUNX1, TCF3/PBX1, KMT2A(MLL), IGH, Hyperdiploidy (Chr 4, 10, 17), TP53

The most recent WHO classification of Tumours of Hematopoietic and Lymphoid Tissues (Revised 5th edition) is used for interpretation criteria for evaluation.

Resources

Sample Reports