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DNA Labs India

FISH - Synovial Sarcoma (SS18 / SYT) 18q11.2 Gene Rearrangement Test

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FISH - Synovial Sarcoma (SS18 / SYT) 18q11.2 Gene Rearrangement Test

Short Name: FISH SS18/SYT Rearrangement Test

Also known as: FISH for Synovial Sarcoma, SS18/SYT Gene Rearrangement Test, Synovial Sarcoma FISH Test

FISH - Synovial Sarcoma (SS18 / SYT) 18q11.2 Gene Rearrangement Test test available at DNA Labs India for ₹12,000. Uses Fluorescence In Situ Hybridization (FISH) on Formalin fixed paraffin embedded tissue block samples. Results in 4 working days. Free home collection in 300+ cities across India.

FISH🏠 Home Collection

🩺 Medically Reviewed By

Overview

To detect the SS18/SYT gene rearrangement associated with synovial sarcoma, providing a definitive diagnosis to guide appropriate treatment and management.

Test Code
603
Price
₹12,000
Sample Type
Formalin fixed paraffin embedded tissue block
Result Time
4 working days
Fasting Required
No
Method
Fluorescence In Situ Hybridization (FISH)
Step 1

Sample Collection

Schedule a biopsy procedure with your healthcare provider. Inform them of any medications or health conditions.

Method: Biopsy

Step 2

Laboratory Analysis

The biopsy is performed under local or general anesthesia, depending on the tumor location. A tissue sample is taken from the suspected area.

Step 3

Report Delivery

The tissue block is placed in formalin and shipped at room temperature to the lab with the completed requisition form.

Timeline: 4 working days

Patient Instructions

1
Before the Test:Complete the biopsy procedure and ensure the tissue sample is properly collected and fixed.
2
During the Test:The biopsy is performed as per standard medical protocol, typically involving local anesthesia.
3
After the Test:The sample is sent to the laboratory for analysis. Await results and follow up with your doctor.

About This Test

Who Should Get This Test

To detect the SS18/SYT gene rearrangement associated with synovial sarcoma, providing a definitive diagnosis to guide appropriate treatment and management.

How to Prepare

  • Submit a formalin fixed paraffin embedded tissue block.
  • Ship at room temperature.
  • Ensure the tissue block contains at least 10% tumor tissue.
  • Duly filled Chromosome & FISH analysis Requisition Form (Form 17) is mandatory.

Doctor's Notes

Reviewed by — MBBS, MD (Pathology) · Reg. No. 21521

"This test is crucial for confirming synovial sarcoma, a rare soft tissue cancer, and guiding targeted treatment decisions."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeFormalin fixed paraffin embedded tissue block
ContainerFormalin fixed paraffin embedded tissue block
Collection MethodBiopsy

Sample Stability

Stable at room temperature for up to 24 hours if properly fixed
Sample Rejection Criteria:
  • Insufficient tumor content in the tissue block
  • Improperly filled or missing requisition form
  • Contaminated or degraded sample
  • Sample not shipped at room temperature

Understanding Your Results

The test result indicates whether the SS18/SYT gene rearrangement is present or absent, which is critical for diagnosing synovial sarcoma.
📊

Positive

SS18/SYT gene rearrangement detected, consistent with synovial sarcoma. This confirms the diagnosis and guides treatment planning.

📊

Negative

No SS18/SYT rearrangement detected. Synovial sarcoma is unlikely, but other diagnoses should be considered. Further testing may be needed.

⚠️ When to Consult a Doctor:

If you experience symptoms such as a persistent lump, swelling, numbness, tingling, or difficulty moving a limb, consult an oncologist immediately for evaluation and possible testing.

Limitations

  • Only detects SS18/SYT gene rearrangement; may not identify rare variants or other genetic abnormalities
  • Requires adequate tumor tissue for accurate results
  • Results may be influenced by sample preparation and interpretation expertise
  • Not used for screening or monitoring of other cancer types

Risks & Considerations

  • Biopsy-related risks: infection, bleeding, or pain at the biopsy site
  • Potential for false-negative or false-positive results
  • Anxiety while waiting for results

Interfering Factors

  • Poor tissue sample quality or insufficient fixation
  • Low tumor content in the biopsy specimen (less than 10%)
  • Improper handling or shipping conditions
  • Contamination of the sample

Frequently Asked Questions

What is the FISH Synovial Sarcoma test?
It is a genetic test that uses Fluorescence In Situ Hybridization (FISH) to detect the SS18/SYT gene rearrangement, which is characteristic of synovial sarcoma, a rare soft tissue cancer.
Why is this test recommended?
This test is recommended to confirm a diagnosis of synovial sarcoma when other tests are inconclusive, or to guide treatment decisions for patients with suspected soft tissue tumors.
How is the sample collected for this test?
The sample is a tissue biopsy, typically obtained through a minor surgical procedure. The tissue is then fixed in formalin and embedded in paraffin for analysis.
What is the cost of the FISH Synovial Sarcoma test at DNA Labs India?
The test costs INR 12000 at DNA Labs India, which includes home sample collection and report delivery.
Is home sample collection available for this test?
Yes, DNA Labs India offers free home sample collection for this test across many cities in India. You can book online for convenience.
How long does it take to get the test results?
The report turnaround time is 4 working days from the date of sample receipt at the laboratory.
What does a positive test result mean?
A positive result indicates the presence of the SS18/SYT gene rearrangement, which confirms a diagnosis of synovial sarcoma and helps in planning appropriate treatment.
What if the test result is negative?
A negative result means no SS18/SYT rearrangement was detected, making synovial sarcoma unlikely. Your doctor may recommend further tests to investigate other possible diagnoses.
Are there any risks associated with this test?
The test itself has no direct risks, but the biopsy procedure may involve minor risks like infection, bleeding, or discomfort. Discuss these with your healthcare provider.
Do I need to fast before the test?
No, fasting is not required for this test. However, follow any specific instructions provided by your doctor for the biopsy procedure.
Can this test be used for other types of cancer?
No, this test is specific for synovial sarcoma and detects only the SS18/SYT gene rearrangement. It is not applicable for other cancers.
How accurate is the FISH Synovial Sarcoma test?
The test is highly specific and sensitive for detecting the t(X;18) translocation found in about 90% of synovial sarcoma cases, making it a reliable diagnostic tool when performed correctly.
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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