BCR/ABL p210, Quant by RT PCR

General Information

Lab Name

BCR/ABL p210, Quant by RT PCR

Lab Code

QP210

Epic Name

BCR/ABL p210 Quantitative

Description

This assay is a nucleic acid amplification test for the quantitation of BCR::ABL1 p210 transcripts (e13a2 and e14a2) in total RNA from whole blood or bone marrow aspirate. This quantitative test is recommended for therapeutic monitoring and detection of minimal residual disease for patients with an established diagnosis. The test does not differentiate between e13a2/b2a2 or e14a2/b3a2 fusion transcripts and does not detect other rare fusion transcripts resulting from t(9;22).

To facilitate the interlaboratory comparison of findings and the assessment of molecular milestones (major molecular response or MMR), results are reported using the International Scale.

For the p190 fusion form (minor breakpoint), order BCR/ABL p190, Quant by RT PCR [QP190]

For patients with uncertain diagnosis or unknown forms of BCR::ABL1 fusion transcripts, please consider ordering BCR/ABL p210, Quant Reflexive [QP210R]
The reportable range is 0.0030% to 50% IS

The limit of detection is 0.0030% IS.

Stability is 72 hrs. Specimens received after 72 hrs. will be rejected.

Limitations: This assay in unable to detect BCR::ABL1 p190, p230, or other rare transcripts.

Please complete the appropriate request form based on your patient location. Hematopathology test request form can be found at Clinical Pathology Test Order Forms.

Synonyms

ALL, B-ALL, B-Cell Acute Lymphoblastic Leukemia, BALL, BCR::ABL1, Chronic Myelogenous Leukemia, CML, p210, P210, Philadelphia chromosome Ph major, QP210, Quantitative BCR/ABL p210, Quantitative RT-PCR, t(9;22)

Components

Code Name
P210SD BCR/ABL p210 Specimen Desc
P210RS BCR/ABL p210 Result
P210IS BCR/ABL p210 %IS
P210IN BCR/ABL p210 Interpretation
P210M BCR/ABL p210 Method
P210GR P210 Case Number

Interpretation

Method

RT-PCR

Reference Range

See individual components

Guidelines

Ordering & Collection

Specimen Type

Peripheral Blood or Bone Marrow Aspirate collected in EDTA.

Collection

Blood: 6mL in LAVENDER top (EDTA) (minimum total of 5 million WBC)

Bone Marrow: 1-2 mL in a LAVENDER top (EDTA) (minimum total of 5 million WBC)

Unacceptable:
Serum, plasma, extracted DNA, CSF, FFPE tissue, frozen whole blood or bone marrow.
Severely hemolyzed or clotted specimens.
Specimens with low volume or inadequate WBC.
Specimens received beyond 72hr stability limit.
Specimens collected in anticoagulants other than EDTA.

Forms & Requisitions

Requisition

Handling Instructions

Samples should be transported at RT and arrive in lab within 24 hours.
If sample is expected to arrive in the HP lab beyond 24 hours, store and transport at 2 – 6˚C.
The stability limit is 72 hours, samples beyond this limit will be rejected.

Quantity

requested: Blood: 6mL in EDTA, Bone Marrow: 2mL in EDTA
minimum: Blood: 4mL in EDTA, Bone Marrow: 1mL in EDTA

Processing

Send specimens to Hematopathology – Molecular department for processing.

Performance

LIS Dept Code

Molecular Hematopathology (MHP)

Performing Location(s)

Other Hematopathology, Molecular
206-606-7060

UW Hematopathology Laboratory, G7-800
Fred Hutchinson Cancer Center
825 Eastlake Avenue E.
Seattle, WA 98109

Hematopathology, Molecular hours:
7:00 am - 5:30 pm M-F
8:00 am - 4:30 pm Saturday, closed on Sunday, and with reduced staffing on major holidays

Frequency

Monday - Saturday. Results available within 5 days of receipt.

Available STAT?

No

Billing & Coding

CPT codes

81206

LOINC

21822-2

Interfaced Order Code

UOW2738