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St. John Health System
Lab Catalog


Index:

ALK-EML4 gene fusion by FISH

Order Name ALK FISH
Test Number: 9100787
Revision Date 10/01/2022
Test Name Methodology LOINC Code
ALK-EML4 gene fusion by FISH
Fluorescence in Situ Hybridization  
SPECIMEN REQUIREMENTS
Specimen Specimen Volume (min) Specimen Type Specimen Container Transport Environment
Preferred See Below Tissue Paraffin Block Room Temperature
Instructions Formalin fixed paraffin embedded tissue. Tissue source and block ID containing tumor are required on the requisition form.
Pathology permission is required for any alternate sample types.
GENERAL INFORMATION
Testing Schedule Tuesday, Thursday 
Expected TAT 7 Days 
Clinical Use Cinicial use: Rearrangements of the ALK (anaplastic large cell lymphoma) gene located at chromosome 2p23 is best detected by FISH analysis. Patients with lung adenocarcinoma carrying the ALK - EML4 gene fusion have been reported to have a good response to certain chemotherapeutic medications.
  
CPT Code(s) 88377
Internal Comments original clinical use:  The anaplastic large cell lymphoma specific chromosomal rearrangements of 2p23 can be proved by FISH. The patients carrying t (2; 5) or ALK fusion protein have been reported to have a good response to chemotherapy and favorable outcome.
5/11/18 changed from 88368x2 to 88377 - JK
6/19/2020 updated the sched and tat - JK
Service Provided By Labcorp Oklahoma, Inc.
Lab Section Reference Lab