Follicular Lymphoma

Intended Use

Follicular lymphoma (FL) is one of the more common lymphomas. In the fifth edition of the WHO classification of hematolymphoid tumours, we have adopted a new way of subtyping FL. The vast majority of FLs have a follicular growth pattern at least in part, are composed of centrocytes and centroblasts, and harbour the t(14;18)(q32;q21) translocation in about 85% of cases. These lymphomas are now termed classic FL and are set apart from less frequent subtypes.

Specimen Required

Paraffin-embed tissue (3–4-micron thick sections in positively charged/silanized slides).

Patient Preparation
  • Sample collection: Tumour Tissue Block
  • Specimen preparation: Do not freeze or expose to extreme temperatures.
  • FFPE Tissue Block: Formalin fix (10 percent neutral buffered formalin) and paraffin-embed tissue (3–4-micron thick sections in positively charged/silanized slides). Fixative duration: 6-48 hours.
  • Storage/Transport Temperature: Room temperature.
  • Unacceptable Conditions: Paraffin block with no tumor tissue remaining. Specimens fixed in any fixative other than 10 percent neutral buffered formalin. Decalcified specimens. Specimens with fixation delayed for more than one hour. Tissue fixed or less than 6 hours of greater than 48 hours.
  • Remarks:
  • Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
Methodology

Fluorescence in situ Hybridization (FISH)

Sample received to report Turnaround time (TAT)

5 working days

Reference Interval

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Interpretive Data

Probes include: IGH-BCL2 Fusion, t(14:18), IRF4/MUM1

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