Chromosomal Microarray, cancer
Collection Requirements
Source: bone marrow
Container: EDTA lavender
Volume: 3 mL in vacutainer
Source: neoplastic blood
Container: EDTA lavender
Volume: 5 mL in vacutainer
Include WBC differential with sample
Source: lymph node/solid tumor tissue
Container: sterile cup with sterile transport
medium
Volume: ≥0.5 cm3 of lymph node or
tumor tissue
Special Instructions
- Transport at room temperature; avoid fluctuating temperatures (hot or cold)
- Send immediately; delays impact specimen integrity
- Use the Oncology Cytogenetics Requisition Neoplastic
Turn Around Time
18 days
Availability
Routine
Lab Processing Instructions
Specimen: whole blood, bone marrow, or lymph node/solid
tumor tissue
Room temperature
Performing Laboratory
Genetics
Adele Hall Lab Section
Cytogenetics
Instrumentation/Methodology
Microarray
Additional Information
Microarray analysis is used in conjunction with gold standard conventional cytogenetic and FISH studies for evaluation of malignancies in children and adults. The choice of method for assessment of the genetic aberrations of malignant cells will be influenced by the differential diagnosis and the recurrent clonal aberrations known to be associated with particular disorders. Our copy number plus single nucleotide polymorphism (SNP) microarray platform views the entire genome at a resolution much higher than possible by conventional karyotyping or FISH analysis. This platform is designed to detect gains, losses, amplifications (copy number changes) and loss of heterozygosity (LOH). The array contains ~2.7 million copy number markers, including 750,000 SNP probes. Advantages: Detects gains, losses and amplification of genes or genomic regions. Detects aneuploidy. Detects loss of heterozygosity. Provides high resolution evaluation of the cancer genome. Limitations: Cannot identify truly balanced chromosomal aberrations, i.e., balanced translocations, inversion, etc., thus, FISH analysis may be needed to detect some disease-specific gene rearrangements. Cannot detect point mutations or epigenetic changes. Low level clonality may not be detected, thus microarray is not recommended for minimal residual disease testing.
Reference Ranges
See interpretive report
CPT
81277