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FISH - t(12;21) or LSI TEL/AML1 Test

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FISH - t(12;21) or LSI TEL/AML1 Test

Short Name: FISH TEL/AML1 Test

Also known as: LSI TEL/AML1 Test, t(12;21) FISH Test, TEL-AML1 Fusion Test

FISH - t(12;21) or LSI TEL/AML1 Test test available at DNA Labs India for ₹6,000. Uses Fluorescence In Situ Hybridization (FISH) on Whole Blood or Bone Marrow samples. Results in 4 Working days from sample receipt. Free home collection in 300+ cities across India.

FISH🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose of the FISH - t(12;21) or LSI TEL/AML1 Test is to identify the presence of the TEL/AML1 fusion gene, which is associated with Acute Lymphoblastic Leukemia (ALL). This information helps in diagnosing ALL, determining its subtype, assessing prognosis, and guiding treatment decisions. It is particularly valuable in pediatric cases where this rearrangement is common.

Test Code
605
Price
₹6,000
Sample Type
Whole Blood or Bone Marrow
Result Time
4 Working days from sample receipt
Fasting Required
No
Method
Fluorescence In Situ Hybridization (FISH)
Step 1

Sample Collection

No special preparation is required, but ensure the Chromosome & FISH analysis Requisition Form (Form 17) is duly filled and accompanies the sample.

Method: Venipuncture for blood; Bone Marrow Aspiration for marrow

Step 2

Laboratory Analysis

Sample is collected via venipuncture for blood or bone marrow aspiration. The procedure is performed by a trained phlebotomist or healthcare professional.

Step 3

Report Delivery

Apply pressure to the collection site to prevent bruising. Follow any post-procedure instructions provided by the healthcare provider.

Timeline: 4 Working days from sample receipt

Patient Instructions

1
Before the Test:No specific preparation is needed. Ensure all required forms are filled and sample is collected properly.
2
During the Test:The sample is processed in the laboratory where FISH analysis is performed using fluorescent probes to detect the t(12;21) translocation.
3
After the Test:Results are compiled and reviewed by a geneticist. A report is generated and delivered via the chosen method.

About This Test

Who Should Get This Test

The purpose of the FISH - t(12;21) or LSI TEL/AML1 Test is to identify the presence of the TEL/AML1 fusion gene, which is associated with Acute Lymphoblastic Leukemia (ALL). This information helps in diagnosing ALL, determining its subtype, assessing prognosis, and guiding treatment decisions. It is particularly valuable in pediatric cases where this rearrangement is common.

How to Prepare

  • Ship samples at 18-22°C
  • DO NOT FREEZE the samples
  • Duly filled Chromosome & FISH analysis Requisition Form (Form 17) is mandatory
  • Use 2 Green Top (Sodium Heparin) tubes for sample collection

Doctor's Notes

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

"The FISH TEL/AML1 test is essential for identifying the t(12;21) translocation in Acute Lymphoblastic Leukemia, which helps in prognosis and tailoring treatment strategies for better patient outcomes."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeWhole Blood or Bone Marrow
Sample Volume5 mL whole blood (3 mL min.) or 4 mL bone marrow (2 mL min.)
Container2 Green Top (Sodium Heparin) tubes
Collection MethodVenipuncture for blood; Bone Marrow Aspiration for marrow

Sample Stability

Room Temperature48 hours
RefrigeratorNot Applicable
FrozenNot Applicable
Sample Rejection Criteria:
  • Hemolyzed sample
  • Clotted sample
  • Insufficient sample volume
  • Missing or incomplete requisition form
  • Improper sample storage or shipping conditions

Understanding Your Results

Results of the FISH TEL/AML1 test are reported as positive or negative for the t(12;21) translocation. Interpretation should be done by a qualified healthcare provider in the context of clinical findings.
📊

Positive

Presence of TEL/AML1 fusion signals indicates the t(12;21) translocation, which is associated with a subtype of B-cell ALL with generally favorable prognosis.

📊

Negative

No TEL/AML1 fusion signals detected. This does not rule out ALL; further testing such as karyotyping or PCR may be recommended.

⚠️ When to Consult a Doctor:

Consult your doctor immediately if you experience symptoms of ALL such as persistent fever, fatigue, bone pain, easy bruising, or bleeding. Also, consult for interpretation of test results and to discuss treatment options.

Limitations

  • FISH may not detect cryptic or variant rearrangements
  • False negatives possible with low cellularity or sample quality
  • Requires specific probes and experienced personnel for interpretation

Risks & Considerations

  • Minor bruising or pain at the blood draw site
  • Soreness or infection risk at bone marrow aspiration site (if applicable)
  • No significant risks from the FISH procedure itself

Interfering Factors

  • Sample contamination
  • Degraded DNA or RNA
  • Improper fixation of cells
  • Technical errors during FISH procedure

Compare With Similar Tests

TestFISH - t(12;21) or LSI TEL/AML1 TestKaryotypingPCR for ALL MarkersImmunophenotyping
ComparisonFISH - t(12;21) or LSI TEL/AML1 Test

Frequently Asked Questions

What is the FISH - t(12;21) or LSI TEL/AML1 Test?
It is a molecular test using Fluorescence In Situ Hybridization (FISH) to detect the t(12;21) translocation, which results in the TEL-AML1 fusion gene, commonly associated with Acute Lymphoblastic Leukemia (ALL).
Why is this test performed?
This test is performed to diagnose ALL, determine its subtype, assess prognosis, and guide treatment planning, especially in pediatric cases where t(12;21) is prevalent.
What samples are required for the test?
The test requires 5 mL of whole blood or 4 mL of bone marrow, collected in 2 Green Top (Sodium Heparin) tubes.
How is the test procedure done?
The sample is sent to the lab where FISH analysis is performed. Fluorescent probes bind to specific DNA sequences to visualize the t(12;21) translocation under a microscope.
What is the cost of the FISH TEL/AML1 Test?
The test costs INR 6000 at DNA Labs India, which includes home sample collection across India.
Is home collection available for this test?
Yes, free home sample collection is available for online bookings in numerous cities across India.
How long does it take to receive the test results?
Results are typically available within 4 working days from the date of sample receipt.
What does a positive test result indicate?
A positive result indicates the presence of the t(12;21) translocation, which is associated with B-cell ALL and generally a favorable prognosis.
What should I do if my test result is negative?
A negative result means no t(12;21) was detected, but it does not rule out ALL. Consult your doctor for further evaluation and possible additional tests.
Are there any risks or side effects from the test?
The risks are minimal and related to sample collection, such as bruising or pain. The FISH procedure itself has no direct risks.
How accurate is the FISH test for detecting t(12;21)?
FISH is highly accurate for detecting the t(12;21) translocation when performed correctly, but sensitivity may vary with sample quality.
Can this test be used to monitor treatment response in ALL?
Yes, it can be used to monitor for the presence of the t(12;21) rearrangement during and after treatment to assess response and detect relapse.
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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