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E2A t(1;19)(q23;p13) Qualitative Test

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E2A t(1;19)(q23;p13) Qualitative Test

Short Name: E2A t(1;19) Qualitative

Also known as: t(1;19) translocation, E2A-PBX1 fusion, TCF3-PBX1 rearrangement

E2A t(1;19)(q23;p13) Qualitative Test test available at DNA Labs India for ₹4,500. Uses Real Time PCR on Bone marrow / Peripheral blood samples. Results in Reports are typically available within 3-4 days after the sample reaches the laboratory.. Free home collection in 300+ cities across India.

Qualitative🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose of this test is to detect the E2A-PBX1 fusion gene resulting from the t(1;19) translocation. This helps in confirming the diagnosis of ALL, assessing prognosis, and guiding targeted therapy. It is also used for monitoring minimal residual disease (MRD) in patients undergoing treatment.

Test Code
6096
CPT Code
81105
ICD Code
C91.00
Price
₹4,500
Sample Type
Bone marrow / Peripheral blood
Result Time
Reports are typically available within 3-4 days after the sample reaches the laboratory.
Fasting Required
No
Method
Real Time PCR
Step 1

Sample Collection

No special preparation required. A doctor's prescription is needed. Inform your physician about any ongoing medications or treatments.

Method: Venipuncture or bone marrow aspiration

Step 2

Laboratory Analysis

Blood sample will be collected by a trained phlebotomist using sterile technique. For bone marrow, the procedure is performed by a specialist under local anesthesia.

Step 3

Report Delivery

You may resume normal activities immediately. For bone marrow, follow post-procedure care instructions provided by your doctor.

Timeline: Reports are typically available within 3-4 days after the sample reaches the laboratory.

Patient Instructions

1
Before the Test:No special preparation. Ensure you have a doctor's prescription. For home collection, schedule a convenient time.
2
During the Test:A blood sample will be drawn from a vein in your arm. The procedure takes a few minutes. If bone marrow is required, it will be done by a specialist.
3
After the Test:You can leave immediately after blood collection. For bone marrow, you may need to rest for a short period. Follow your doctor's advice.

About This Test

Who Should Get This Test

The purpose of this test is to detect the E2A-PBX1 fusion gene resulting from the t(1;19) translocation. This helps in confirming the diagnosis of ALL, assessing prognosis, and guiding targeted therapy. It is also used for monitoring minimal residual disease (MRD) in patients undergoing treatment.

How to Prepare

  • Use EDTA vacutainer for blood collection
  • Transport immediately to the laboratory at 2-8°C
  • Do not freeze the sample
  • Label the sample with patient details and date/time of collection

Doctor's Notes

Reviewed by — MBBS, MD (Medical Genetics) · Reg. No. 8532

"Early detection of the E2A-PBX1 translocation is critical for risk stratification in ALL. This qualitative test provides rapid and reliable results to guide treatment decisions."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeBone marrow / Peripheral blood
Sample Volume2 ml
ContainerEDTA Vacutainer
Collection MethodVenipuncture or bone marrow aspiration

Sample Stability

Peripheral blood: 24 hours at 2-8°C
Bone marrow: 24 hours at 2-8°C
RNA extracted: stable for 1 week at -20°C
Sample Rejection Criteria:
  • Clotted or hemolyzed sample
  • Incorrect container (e.g., heparin tube)
  • Sample older than 48 hours without proper storage
  • Unlabeled or mislabeled sample

Understanding Your Results

The test result is reported as 'Detected' or 'Not Detected' for the E2A-PBX1 fusion gene. A positive result indicates the presence of the t(1;19) translocation, which is associated with a specific subtype of ALL. This finding should be interpreted in conjunction with clinical, morphological, and immunophenotypic data.
📊

Not Detected

No evidence of E2A-PBX1 fusion; other genetic abnormalities may be considered.

📊

Detected

Presence of t(1;19) translocation; indicates a distinct ALL subtype with prognostic implications. Treatment may be adjusted accordingly.

⚠️ When to Consult a Doctor:

Consult your oncologist or hematologist if you have symptoms such as persistent fever, unexplained bruising, bone pain, or if you have been diagnosed with ALL and need genetic testing for risk stratification.

Limitations

  • Qualitative test does not quantify the level of fusion transcript
  • May not detect rare variant translocations
  • Requires high-quality RNA; degraded samples may yield false negatives
  • Clinical correlation with other diagnostic tests is essential

Risks & Considerations

  • Minimal risk of bruising or bleeding at the puncture site
  • Rare risk of infection at the collection site
  • For bone marrow: rare risk of bleeding, infection, or discomfort

Interfering Factors

  • Hemolysis or clotting of blood sample
  • Inadequate sample volume
  • Delayed transport leading to RNA degradation
  • Contamination during sample processing

Compare With Similar Tests

TestE2A t(1;19)(q23;p13) QualitativeBCR-ABL t(9;22) QualitativeMLL (KMT2A) RearrangementTEL-AML1 t(12;21) Qualitative
ComparisonE2A t(1;19)(q23;p13) Qualitative

Frequently Asked Questions

What is the E2A t(1;19) translocation?
It is a chromosomal abnormality where segments of chromosome 1 and 19 swap places, creating a fusion gene E2A-PBX1 that can lead to leukemia.
Who should get this test?
Patients diagnosed with acute lymphoblastic leukemia (ALL) or those with symptoms suggestive of leukemia, such as persistent fever, fatigue, easy bruising, or enlarged lymph nodes.
What sample is required?
Bone marrow or peripheral blood (2 ml in EDTA vacutainer). Transport immediately to the lab.
Do I need to fast before the test?
No, fasting is not required for this test.
How long does it take to get results?
Reports are available within 3-4 days after sample collection.
Is home sample collection available?
Yes, we offer free home sample collection for online bookings across major cities in India.
What is the cost of the test?
The test costs INR 4500, which is a special discounted price.
What does a positive result mean?
A positive result indicates the presence of the E2A-PBX1 fusion gene, confirming the t(1;19) translocation. This helps in risk stratification and treatment planning.
What does a negative result mean?
A negative result means the translocation was not detected. However, other genetic abnormalities may still be present, so further testing may be needed.
Is this test covered by insurance?
Coverage depends on your insurance provider. Please check with your insurer or contact us for assistance.
Can this test be done during pregnancy?
This test is not typically performed during pregnancy unless specifically indicated. A doctor's prescription is required.
How accurate is this test?
The test uses real-time PCR, which is highly sensitive and specific for detecting the E2A-PBX1 fusion gene. However, results should be interpreted by a qualified clinician.
Worried about the process? Our certified phlebotomists collect thousands of samples every month across India. The process takes under 5 minutes and is virtually painless. Questions? Message us on WhatsApp — we're here 7 days a week.

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