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FISH - Ewing Sarcoma (EWS) 22q12 (EWSR1) Rearrangement Test

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FISH - Ewing Sarcoma (EWS) 22q12 (EWSR1) Rearrangement Test

Short Name: FISH EWSR1 Test

Also known as: EWSR1 Rearrangement FISH, Ewing Sarcoma Genetic Test

FISH - Ewing Sarcoma (EWS) 22q12 (EWSR1) Rearrangement Test test available at DNA Labs India for ₹8,500. Uses FISH on Formalin-fixed paraffin-embedded tissue samples. Results in 7-8 working days. Free home collection in 300+ cities across India.

Genetic TestPediatric and Young Adult🏠 Home Collection

🩺 Medically Reviewed By

Overview

To detect EWSR1 gene rearrangements for confirming Ewing Sarcoma diagnosis and guiding treatment decisions.

Test Code
579
Price
₹8,500
Sample Type
Formalin-fixed paraffin-embedded tissue
Result Time
7-8 working days
Fasting Required
No
Method
FISH
Step 1

Sample Collection

Ensure the requisition form is filled and accompany the sample.

Method: Biopsy collection

Step 2

Laboratory Analysis

Tissue biopsy collection performed by a healthcare professional.

Step 3

Report Delivery

Store tissue in formalin and transport to lab at room temperature.

Timeline: 7-8 working days

Patient Instructions

1
Before the Test:No specific preparation required for the test itself, but ensure sample is collected properly.
2
During the Test:Lab performs FISH analysis on the tissue sample using fluorescent probes.
3
After the Test:Results are reviewed by a pathologist and reported to the physician.

About This Test

Who Should Get This Test

To detect EWSR1 gene rearrangements for confirming Ewing Sarcoma diagnosis and guiding treatment decisions.

How to Prepare

  • Submit formalin-fixed paraffin-embedded tissue block.
  • Tissue block must contain at least 10% tumor tissue.
  • Ship at room temperature.
  • Include completed Chromosome & FISH analysis Requisition Form (Form 17).

Doctor's Notes

Reviewed by — MBBS, MD (General Medicine) · Reg. No. 8052

"This test is crucial for confirming Ewing Sarcoma diagnosis and guiding targeted therapy."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeFormalin-fixed paraffin-embedded tissue
Sample VolumeSufficient tissue for analysis
ContainerTissue block in appropriate container
Collection MethodBiopsy collection

Sample Stability

Room Temperature
Refrigerator
Frozen
Sample Rejection Criteria:
  • Insufficient tumor tissue
  • Missing requisition form
  • Improperly fixed tissue

Understanding Your Results

Results indicate the presence or absence of EWSR1 gene rearrangements associated with Ewing Sarcoma.
📊

Positive

EWSR1 rearrangement detected, consistent with Ewing Sarcoma.

📊

Negative

No EWSR1 rearrangement detected; Ewing Sarcoma less likely.

⚠️ When to Consult a Doctor:

Consult an oncologist if the test is positive or if symptoms persist despite negative results.

Limitations

  • Cannot detect all types of EWSR1 rearrangements
  • May require confirmation with other methods
  • FISH detects only specific translocations

Risks & Considerations

  • Risks associated with biopsy procedure, such as infection or bleeding

Interfering Factors

  • Poor quality tissue sample
  • Insufficient tumor content
  • DNA degradation

Compare With Similar Tests

TestFISH - Ewing Sarcoma (EWS) 22q12 (EWSR1) Rearrangement TestImmunohistochemistryRT-PCR
ComparisonFISH - Ewing Sarcoma (EWS) 22q12 (EWSR1) Rearrangement TestIHC is less specific; FISH provides genetic confirmation.RT-PCR can detect fusion transcripts but requires fresh tissue.

Frequently Asked Questions

What is the FISH EWSR1 Rearrangement Test?
It is a genetic test that uses Fluorescence In Situ Hybridization (FISH) to detect rearrangements in the EWSR1 gene, which is commonly associated with Ewing Sarcoma.
How is the test performed?
The test involves analyzing a tissue sample under a microscope using fluorescent probes that bind to specific DNA sequences of the EWSR1 gene.
What sample is required for the test?
A formalin-fixed paraffin-embedded tissue block containing at least 10% tumor tissue is required.
How long does it take to get results?
Results are typically available within 7-8 working days after sample receipt.
Is the test painful?
The test itself is not painful; it is a laboratory analysis. However, the biopsy procedure to collect the tissue sample may cause discomfort.
What does a positive result mean?
A positive result indicates the presence of an EWSR1 gene rearrangement, which is highly suggestive of Ewing Sarcoma.
What if the test is negative?
A negative result suggests no EWSR1 rearrangement was detected, making Ewing Sarcoma less likely, but further clinical evaluation may be needed.
Are there any risks associated with the test?
The test itself has no direct risks, but the biopsy procedure carries minor risks like infection or bleeding.
How much does the test cost?
The test costs INR 8500 at DNA Labs India, with free home sample collection available.
Is home sample collection available?
Yes, free home sample collection is offered across India for online bookings.
Can the test be used for treatment monitoring?
While primarily for diagnosis, it can help in monitoring treatment response if recurrent samples are analyzed.
Who should perform this test?
The test should be ordered by an oncologist or other specialist based on clinical suspicion of Ewing Sarcoma.
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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