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FISH to Rule Out Specific Trisomies
Probes available: Chromosome 21; Chromosome
13; Chromosome 18; Chromosome 12; X and Y Chromosomes (Other probes
may be available upon request).
Involves hybridization of chromosome-specific DNA probes to uncultured
cells to detect specific trisomies. Must be done in conjunction
with routine chromosome analyses unless chromosome analysis has
been done previously.
Peripheral Blood: Specimen Requirements:
5-10 cc blood (1-2 cc for newborns) in a green top tube (sodium
heparin). Mix well by inverting. Maintain specimen at room temperature.
Fixed cells from a previous cytogenetic study can be used. Contact
the laboratory to check the availability of fixed cells.
Amniotic Fluid: Specimen Requirements:
Performed only in conjunction with routine amniotic fluid
chromosome studies. Draw 10 cc above amount for routine chromosomes
study - minimum of 30cc.
Bone Marrow: Specimen Requirements:
Indicate peripheral blood WBC and % blasts on request
form. Bone marrow for cytogenetics should be obtained from the
second aspirate. Draw 1-2 cc into a syringe "wetted"
with sodium heparin (500 U heparin/cc). Invert syringe to mix
with heparin. Immediately add specimen to a tube containing 5-10
ml sterile culture medium. Mix contents of tube well by inverting.
Cap tightly and cover with Parafilm. Keep cool (do not freeze).
Deliver to laboratory as soon as possible.
Skin: Specimen Requirements:
Biopsy site should be cleaned using a sterile gauze pad saturated
with acetone. DO NOT use antiseptic soaps or iodine. Allow to
dry. If local anesthetic is used, we recommend a lidocaine solution
without epinephrine. Obtain a piece of skin (full thickness) 3-5
mm in diameter. Transfer specimen to a tube containing tissue
culture medium [preferred] or sterile isotonic saline solution
(tubes available upon request). Fill tube completely. Cap tightly
and seal with Parafilm. Refrigerate specimen until shipment (do
not freeze).
Turn Around Time:24-48 hrs.
FISH to
Rule Out Microdeletions or Translocations
Probes available: DiGeorge synd., Williams synd.,
Smith-Magenis synd., Miller-Dieker synd., Cri du Chat synd., Retinoblastoma,
BCR/ABL inv(16), T(11;14), T(15;17)(Other probes may be available upon request.)
Involves use of DNA probes that hybridize to specific genes or
chromosome regions to test for small deletions or translocations.
Usually done in conjunction with routine chromosome analysis unless
chromosome analysis has been done previously.
Peripheral Blood: Specimen Requirements:
5-10 cc blood (1-2 cc for newborns) in a green top tube (sodium
heparin). Mix well by inverting. Maintain specimen at room temperature.
Fixed cells from a previous cytogenetic study can be used. Contact
the laboratory to check the availability of fixed cells.
Amniotic Fluid: Specimen Requirements:
Performed only in conjunction with routine amniotic fluid chromosome
studies. Draw 10 cc above amount for routine chromosomes study
- minimum of 30cc.
Bone Marrow: Specimen Requirements:
Indicate peripheral blood WBC and % blasts on request form. Bone
marrow for cytogenetics should be obtained from the second aspirate.
Draw 1-2 cc into a syringe "wetted" with sodium heparin
(500 U heparin/cc). Invert syringe to mix with heparin. Immediately
add specimen to a tube containing 5-10 ml sterile culture medium.
Mix contents of tube well by inverting. Cap tightly and cover
with Parafilm. Keep cool (do not freeze). Deliver to laboratory
as soon as possible.
Skin: Specimen Requirements: Biopsy
site should be cleaned using a sterile gauze pad saturated with
acetone. DO NOT use antiseptic soaps or iodine. Allow to dry.
If local anesthetic is used, we recommend a lidocaine solution
without epinephrine. Obtain a piece of skin (full thickness) 3-5
mm in diameter. Transfer specimen to a tube containing tissue
culture medium [preferred] or sterile isotonic saline solution
(tubes available upon request). Fill tube completely. Cap tightly
and seal with Parafilm. Refrigerate specimen until shipment (do
not freeze).
Turn Around Time: Depends on tissue type but
generally 7-21 days.
FISH Only: Previous chromosome
study required
Peripheral Blood: Specimen
Requirements: 5-10 cc blood (1-2 cc for newborns) in
a green top tube (sodium heparin). Mix well by inverting. Maintain
specimen at room temperature. Fixed cells from a previous cytogenetic
study can be used. Contact the laboratory to check the availability
of fixed cells.
Amniotic Fluid:
Specimen Requirements: Performed only after
consultation with laboratory director. Call for information.
Bone Marrow:
Specimen Requirements: Indicate peripheral blood
WBC and % blasts on request form. Bone marrow for cytogenetics
should be obtained from the second aspirate. Draw 1-2 cc into
a syringe "wetted" with sodium heparin (500 U heparin/cc).
Invert syringe to mix with heparin. Immediately add specimen to
a tube containing 5-10 ml sterile culture medium (e.g. RPMI 1640
or MEM). Mix contents of tube well by inverting. Cap tightly and
cover with Parafilm. Keep cool (do not freeze). Deliver to laboratory
as soon as possible.
Skin:
Specimen Requirements: Biopsy site should be
cleaned using a sterile gauze pad saturated with acetone. DO NOT
use antiseptic soaps (Betadine, Hibitane) or iodine. Allow to
dry. If local anesthetic is used, we recommend a lidocaine solution
without epinephrine. Obtain a piece of skin (full thickness) 3-5
mm in diameter. Transfer specimen to a tube containing tissue
culture medium [preferred] or sterile isotonic saline solution
(tubes available upon request). Fill tube completely. Cap tightly
and seal with Parafilm. Refrigerate specimen until shipment (do
not freeze).
If fixed cells from a previous chromosome study are available,
no specimen is required. Contact the laboratory to check on the
availability of fixed cells.
Turn Around Time: Depends on tissue type. If
fixed cells are available, 2-7 days.
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